Michael Scott Griswold, MD
Individual provider Active NPI Family Medicine Physician · Eldon, MO
NPI 1972575694 · NPPES record last updated Jun 7, 2012
Key facts
- NPI
- 1972575694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 108169 (MO)
- Practice address
- 103 Business Hwy 54 North
Eldon, MO 65026 - Phone
- (573) 392-2124
- Fax
- (573) 392-6375
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Curators of the University of Missouri
Practice addresses (Care Compare)
1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141
Hospital & facility affiliations
- Capital Region Home Health
- Elara Caring
- Centerwell Home Health
- Phoenix Home Care
- Hospice Compassus-Central Missouri
- Hospice Compassus-North Central Missouri
- University of Missouri Health Care
- Lake Regional Health System
- Bothwell Regional Health Center
- SSM Health St. Mary'S Hospital - Jefferson City
- Laurie Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Hospice Compassus - Central Missouri |
Hospice | Contracted Managing Employee | Mar 25, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100526000115 | MO | Practitioner - Family Practice | 4082702154 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Curators of the University of Missouri | Current |
Accepting new patients | |
| Curators of the University of Missouri | Current |
Accepting new patients | |
| Community Hospices of America, LLC | Current |
Accepting new patients | |
| Community Hospices of America LLC | Current |
Accepting new patients | |
| Capital Region Medical Center | Past | Accepting new patients |
Locations
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
103 N Highway 54 E
Eldon, MO 65026
Phone (573) 392-2124
3405 W Truman Blvd
Ste 210
Jefferson City, MO 65109
Phone (573) 261-6226
1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000
916 E Main St
Linn, MO 65051
Phone (573) 897-2525
707 E Briggs Dr
#B
Macon, MO 63552
Phone (660) 385-4400
5780 Osage Beach Pkwy
Osage Beach, MO 65065
Phone (573) 348-1566
3536 Kuhne Rd
Owensville, MO 65066
Phone (573) 437-4168
901 Kidwell Dr
Versailles, MO 65084
Phone (573) 378-4666
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 108169 | MO | Yes |
Addresses
Primary practice location
103 Business Hwy 54 North
Eldon, MO 65026
Mailing address
103 Business Hwy 54 North
Eldon, MO 65026
Phone (573) 392-2124
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 440546366 | Other | UNITED HEALTHCARE | |
| 10582R | Other | BLUE CROSS BLUE SHIELD | |
| 208705616 | Medicaid | MO | |
| G50237 | Other | MERCY | |
| CH5818 | Other | RR MEDICARE | |
| 3108991 | Other | CIGNA | |
| 389142 | Other | HEALTHLINK | |
| 010060877 | Other | RR MEDICARE |
Other providers in Eldon, MO
- John Alan Gambill
- Tiffany George
- Betty Gipson
- Daniel Goninan
- Brooke Olivia Graves
- Sharon Gail Hagan
- Katherine Harmon
- Connie Harrison
- Diana Arlene Harrison
- Natalie Hawken
All providers in Eldon, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.