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Active NPI 1629042122 Individual Practitioner Male Practitioner

Dr. Andre D Grisham , MD

Surgery • Tigard, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andre Grisham, MD is a certified Surgery practicing in Tigard, OR. With approximately 27 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1999, Dr. Grisham delivers high-quality medical care to the local community at 9250 SW HALL BLVD.

Dr. Grisham maintains professional affiliations with Providence Health And Services Oregon, Providence Health And Services - Oregon and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9250 Sw Hall Blvd

Tigard, OR 972236721

Telephone 5032210161
Associated Practice Facility / Clinic
🏢 River Radiologists, Pc Facility NPI 1730138736

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tigard, OR

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
27 Yrs -1.5 yrs vs City Avg
City Avg: 28.5 Yrs
State Avg: 23.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Tigard, OR (555 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grisham (27 Years) 27 Yrs
Tigard Specialty Average (28.5 Years) 28.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
44 43 $581.00 $171.78

Medical Specialties & State Licenses

CMS Verified: 2020-11-06
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OR MD151172

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License SC 29462

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TN 38146

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3895467 (TN)
Medicaid State Provider ID
04951725 (MS)
Commercial Insurance / Payer ID Bcbs Tn
4214668 (TN)

Hospital & Practice Group Affiliations

Providence Health And Services - Oregon

9205 Sw Barnes Rd, Portland, OR 972256603

Phone: 5032162213

Providence Health And Services - Oregon

9205 Sw Barnes Rd, Portland, OR 972256603

Phone: 5032162229

Providence Health And Services Oregon

5050 Ne Hoyt St, Portland, OR 972132985

Phone: 5034674761

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Michael Chen , MD

Family Medicine

NPI 1023005410

Doctor of Medicine (M.D.)

Dr. Thomas Hirsh , MD

Radiology - Body Imaging

NPI 1033272059

Doctor of Medicine (M.D.)

Dr. Amy Mulcaster , DO

Obstetrics & Gynecology - Gynecology

NPI 1063439644

Doctor of Osteopathic Medicine (D.O.)

Dr. Jody Pettit , MD

Internal Medicine

NPI 1063447100

Doctor of Medicine (M.D.)

Dr. Clifford Cooper , MD

Internal Medicine

NPI 1093806572

Doctor of Medicine (M.D.)

NPI 1093882789

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Surgery (License #29462 in SC)

📍
Updated Business Mailing Address November 06, 2020

Registered at 800 SW 13TH AVE, PORTLAND, OR 972051902 (Tel: 5032210161)

NPI Profile Active July 11, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2017

Registered at 9250 SW HALL BLVD, TIGARD, OR 972236721 (Tel: (503) 221-0161)

📍
Updated Business Mailing Address July 11, 2017

Registered at 9250 SW HALL BLVD, TIGARD, OR 972236721 (Tel: (503) 221-0161)

👤
Provider Name / Credentials Updated July 11, 2017

Recorded as ANDRE GRISHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2017

Surgery (License #29462 in SC)

NPI Profile Active May 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2011

Registered at 1500 WEST POPLAR AVE, SUITE 202, COLLIERVILLE, TN 38017 (Tel: 9018619270)

📍
Updated Business Mailing Address May 27, 2011

Registered at P O BOX 405827, ATLANTA, GA 303845827 (Tel: 8709345821)

👤
Provider Name / Credentials Updated May 27, 2011

Recorded as ANDRE GRISHAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2011

Surgery (License #38146 in TN)

🟢
Initial NPI Registration & Enumeration February 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629042122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 14, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

800 Sw 13th Ave

Portland, OR 972051902

Phone: 5032210161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.