Individual provider Active NPI

Richard R. Grimsley, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1699779462
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
ME67016 Issued in FL
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

Updated by the provider on Apr 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
264048100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060717000066 FL Practitioner - Orthopedic Surgery 4789697798 Reassigns benefits to 4 organizations

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
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians
Southeast Orthopedic Specialists LLCGroup PAC ID 1456246974, 144 clinicians

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 Home health agency, Jacksonville, FL, CCN 107436
  • Flagler Home Care LLC Home health agency, Saint Augustine, FL, CCN 108211
  • Brooks Rehabilitation Home Health Home health agency, Jacksonville, FL, CCN 103174
  • Ascension St Vincent'S Riverside Hospital, Jacksonville, FL, CCN 100040
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • Ascension St Vincent'S Clay County Hospital, Middleburg, FL, CCN 100321
  • Brooks Rehabilitation Hospital University Campus Inpatient rehabilitation facility, Jacksonville, FL, CCN 103039

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
88.19
Promoting interoperability
100
Improvement activities
40
Cost
80.96

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as individual
Quality
75.31
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement20
Knee replacement41
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA Orthopaedic Surgery CurrentSince Aug 1, 2019 Accepting new patients
Villages Regional Hospital Physician Services LLC Orthopaedic Surgery CurrentSince May 1, 2025 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Jul 1, 2024 Accepting new patients
Flagler Professional Health Care Services, Inc. Orthopaedic Surgery CurrentSince Apr 1, 2025 Accepting new patients
Flagler Professional Health Care Services, Inc. CurrentSince Apr 1, 2025 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 1, 2019 Accepting new patients
Southeast Orthopedic Specialists, LLC Orthopaedic Surgery CurrentSince Jul 1, 2024 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

  • Direct secure messaging: rgrimsley766777@direct.shands.ufl.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.