Andrew Scott Grivas Jr.
NPI 1285658815ActiveIndividual· Internal Medicine· Jefferson City, MO
Internal Medicine in Jefferson City, Missouri, trained at University of Texas Southwestern Medical School at Dallas (class of 1972). In 2024 Medicare paid $5,791 for 32 patients, and Part D covered 76 of their prescriptions, 61% of them generic.
Overview
| NPI | 1285658815 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Apr 16, 2024 |
| Certified by provider | Apr 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 016921 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (GA); Practitioner - Internal Medicine (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 56 across 4 procedure codes |
| Paid by Medicare | $5,791 |
Part D prescriptions in 2024
| Prescriptions (claims) | 76 · 154 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $1,577 |
| Generic share | 61% of claims |
Education and affiliations
| Medical school | University of Texas Southwestern Medical School at Dallas |
|---|---|
| Graduation year | 1972 |
| Medicare specialty | Internal Medicine |
Medical group
- Wildwood Sanitarium IncorporatedWildwood, GA · 2 clinicians
Hospital affiliation
- Missouri Baptist Sullivan HospitalSullivan, MO
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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