Andre D. Grisham, MD
NPI 1629042122ActiveIndividual· Surgery· Tigard, OR
Surgery (MD) in Tigard, Oregon, trained at University of Kentucky College of Medicine (class of 1999). 65 Medicare patients in 2024, $24,553 paid; nearly all of their 61 Part D prescriptions were generic (98%). Microline Surgical Inc reported $20.64 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1629042122 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 14, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Nov 6, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD151172 | OR |
| Surgery | 208600000X | 29462 | SC |
| Surgery | 208600000X | 38146 | 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 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 - General Surgery (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 104 across 29 procedure codes |
| Paid by Medicare | $24,553 |
Part D prescriptions in 2024
| Prescriptions (claims) | 61 · 61 30-day fills |
|---|---|
| Patients | 29 |
| Total drug cost | $412.29 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | University of Kentucky College of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | General Surgery |
Medical groups
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
- Providence Health and Services - OregonPortland, OR · 208 clinicians
Hospital affiliation
- Providence St Vincent Medical CenterPortland, OR
Industry payments (Open Payments)
- 2024$20.64 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Microline Surgical Inc | $20.64 | 2 |
What the 2024 payments were for
- Food and Beverage$20.64 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Tigard
- 1295651800
- 1033208343