NPIMap

Individual provider Active NPI

Michael Scott Griswold, MD

  • Family Medicine Physician
  • Eldon, MO
National Provider Identifier
1972575694
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
108169 Issued in MO
Practice address
103 Business Hwy 54 North
Eldon, MO 65026
Phone
(573) 392-2124
Fax
(573) 392-6375
NPI assigned
Feb 6, 2006
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 108169 MO Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526000115 MO Practitioner - Family Practice 4082702154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

1125 Madison St
Jefferson City, MO 65101-5227
Phone (573) 635-7141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
108169MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospices of America, LLC CurrentSince Apr 21, 2017 Accepting new patients
The Curators of the University of Missouri CurrentSince Jan 1, 2024 Accepting new patients
Community Hospices of America LLC CurrentSince Apr 21, 2017 Accepting new patients
Curators of the University of Missouri CurrentSince Jan 1, 2024 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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Compassus - Central MissouriJefferson City, MO, CCN 261559 Hospice Contracted Managing Employee Mar 25, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1972575694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BUSINESS HWY 54 NORTH",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "65026",
            "telephone_number": "573-392-2124",
            "fax_number": "573-392-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BUSINESS HWY 54 NORTH",
            "city": "ELDON",
            "state": "MO",
            "postal_code": "65026",
            "telephone_number": "573-392-2124",
            "fax_number": "573-392-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "108169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldon, MO

Sources for this page

Verify at the official NPI Registry.