Justin Grisham, D.O.
NPI 1427417062ActiveIndividual· Emergency Medicine· Cortez, CO
Emergency Medicine (D.O.) with Innova Emergency Medical Associates PC, practicing in Cortez, Colorado. 58 Medicare patients in 2024, $7,119 paid; all of their 71 Part D prescriptions were generic. Lists Kingman Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1427417062 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Feb 10, 2016 |
| Last updated in NPPES | May 27, 2026 |
| Certified by provider | May 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 011215 | AZ |
| Emergency Medicine | 207P00000X | 05-49286 | KS |
| Emergency Medicine | 207P00000X | DR.0065361 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (AZ); Practitioner - Emergency Medicine (CO); Practitioner - Emergency Medicine (KS); Practitioner - Emergency Medicine (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 58 |
|---|---|
| Services billed | 68 across 7 procedure codes |
| Paid by Medicare | $7,119 |
Part D prescriptions in 2024
| Prescriptions (claims) | 71 · 81 30-day fills |
|---|---|
| Patients | 50 |
| Total drug cost | $536.16 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Emergency Medicine |
Medical group
- Innova Emergency Medical Associates PCWinslow, AZ · 69 clinicians
Hospital affiliations
- Kingman Regional Medical CenterKingman, AZ
- Southwest Memorial HospitalCortez, CO
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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All 15 emergency medicine physicians in Cortez · All emergency medicine physicians in Colorado