Active NPI
Richard R. Grimsley, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- ME67016
- Practice address
- 2 Shircliff Way Ste 300
Jacksonville, FL 32204-4753 - Phone
- (904) 204-5000
- Fax
- (904) 204-4000
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME67016 | FL | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ME67016 | FL | Primary |
Addresses
Primary practice location
2 Shircliff Way Ste 300
Jacksonville, FL 32204-4753
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other practice location 1
120 Health Park Blvd Ste 1
Saint Augustine, FL 32086-5798
Phone (386) 627-7318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264048100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615
120 Health Park Blvd
Suite 1
Saint Augustine, FL 32086-5798
Phone (888) 481-2135
145 City PL
Suite 201
Palm Coast, FL 32164-2480
Phone (888) 481-2135
2 Shircliff Way
Suite 510
Jacksonville, FL 32204-4763
Phone (904) 204-5000
2 Shircliff Way
Suite 605
Jacksonville, FL 32204-4762
Phone (904) 634-0640
400 Health Park Blvd
St Augustine, FL 32086-5784
Phone (904) 823-1447
Hospital & facility affiliations
- Welcome Homecare
- Flagler Home Care LLC
- Brooks Rehabilitation Home Health
- Ascension St Vincent'S Riverside
- Flagler Hospital
- Ascension St Vincent'S Clay County
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.75 of 100
- Quality
- 88.19
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.96
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.12 of 100
- Quality
- 75.31
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 20 |
| Knee replacement | 41 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Orthopaedic Surgery | Current | Accepting new patients |
| Villages Regional Hospital Physician Services LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Southeast Orthopedic Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Flagler Professional Health Care Services, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Flagler Professional Health Care Services, Inc. | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| Southeast Orthopedic Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
2 Shircliff Way
Ste 510
Jacksonville, FL 32204
Phone (904) 204-5000
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
10475 Centurion Pkwy N
Ste 220
Jacksonville, FL 32256
Phone 9046340640 ext. 1014
2 Shircliff Way
Ste 300
Jacksonville, FL 32204
Phone (904) 308-7959
4205 Belfort Rd
Ste 3030
Jacksonville, FL 32216
Phone (904) 296-4141
836 Prudential Dr
Ste 1001
Jacksonville, FL 32207
Phone (904) 398-0004
2 Shircliff Way
Ste 605
Jacksonville, FL 32204
Phone (904) 328-5979
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
145 City Pl
Ste 201
Palm Coast, FL 32164
Phone (386) 627-7318
351 Town Plaza Ave
Ste 201
Ponte Vedra, FL 32081
Phone (888) 481-2135
120 Health Park Blvd
Ste 1
St Augustine, FL 32086
Phone (904) 819-4400
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rgrimsley766777@direct.shands.ufl.edu
- richard.grimsley.1@9109.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1629025820
-
- Surgery Physician
- Leesburg, FL
- NPI 1700669926
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- St Augustine, FL
- NPI 1871131573
-
- Urgent Care Clinic/Center
- St. Augustine, FL
- NPI 1598507014
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Durable Medical Equipment & Medical Supplies
- St Johns, FL
- NPI 1538952379
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1003912296
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1184895740
-
- Home Health Agency
- Saint Augustine, FL
- NPI 1649791823
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
- Home Health Agency
- Jacksonville, FL
- NPI 1568467967
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1134117575
-
- General Acute Care Hospital
- Middleburg, FL
- NPI 1457690471
-
- Clinical Medical Laboratory
- Jacksonville, FL
- NPI 1669556072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1699779462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SHIRCLIFF WAY STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044753",
"telephone_number": "904-204-5000",
"fax_number": "904-204-4000"
}
],
"practiceLocations": [
{
"address_1": "120 Health Park Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Saint Augustine",
"state": "FL",
"postal_code": "320865798",
"country_code": "US",
"telephone_number": "386-627-7318",
"fax_number": "638-627-7319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIMSLEY",
"first_name": "RICHARD",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2025-04-28",
"certification_date": "2025-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME67016",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "FL",
"license": "ME67016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264048100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.