Donald Wesley Grisham, M.D.
NPI 1245290048ActiveIndividual· General Practice· Cookeville, TN
General Practice (M.D.) in Cookeville, Tennessee, trained at University of Tennessee, Hsc, College of Medicine (class of 1982). Their prescriptions cost Medicare Part D more than their services did: $30,706 for 258 claims, against $4,002 paid for services in 2024.
Overview
| NPI | 1245290048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 24, 2006 |
| Last updated in NPPES | Sep 6, 2023 |
| Certified by provider | Sep 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | MD15257 | TN |
| Internal Medicine | 207R00000X | 15257 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 28 |
|---|---|
| Services billed | 79 across 9 procedure codes |
| Paid by Medicare | $4,002 |
Part D prescriptions in 2024
| Prescriptions (claims) | 258 · 558 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $30,706 |
| Generic share | 72% of claims |
Education and affiliations
| Medical school | University of Tennessee, Hsc, College of Medicine |
|---|---|
| Graduation year | 1982 |
| Medicare specialty | Internal Medicine |
Medical group
- State of Tennessee State F and A PayrollNashville, TN · 21 clinicians
Hospital affiliation
- Cookeville Regional Medical CenterCookeville, TN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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