James R. Grimes, M.D.
NPI 1649262106ActiveIndividual· Family Medicine· Warrenton, MO
Family Medicine (M.D.) in Warrenton, Missouri, trained at Saint Louis University School of Medicine (class of 1999). Their prescriptions cost Medicare Part D more than their services did: $1,430,344 for 16,029 claims, against $49,056 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 23 companies reporting payments in 2025, $1,778 in all, mostly food and beverage.
Overview
| NPI | 1649262106 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 19, 2005 |
| Last updated in NPPES | Jan 26, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2006001772 | MO |
| Family Medicine | 207Q00000X | 51139 | 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 - Family Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 161 |
|---|---|
| Services billed | 1,743 across 82 procedure codes |
| Paid by Medicare | $49,056 |
Part D prescriptions in 2024
| Prescriptions (claims) | 16,029 · 34,190 30-day fills |
|---|---|
| Patients | 884 |
| Total drug cost | $1,430,344 |
| Generic share | 87% of claims |
Education and affiliations
| Medical school | Saint Louis University School of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Mercy Clinic East CommunitiesSaint Louis, MO · 571 clinicians
Hospital affiliations
- Hermann Area District HospitalHermann, MO
- Mercy Hospital LincolnTroy, MO
- Mercy Hospital St LouisSaint Louis, MO
- Mercy Hospital WashingtonWashington, MO
Other facilities
- Mercy Home HealthHome health agency · Saint Louis, MO
- Dover Hospice Mo Stl Metro, LLCHospice · St Louis, MO
- Heartland Hospice (St Louis)Hospice · Saint Louis, MO
- Mercy HospiceHospice · Saint Louis, MO
Industry payments (Open Payments)
- 2025$1,778 · 109 payments from 23 companies
- 2024$1,370 · 88 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $378.78 | 34 |
| Corcept Therapeutics | $220.43 | 11 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $127.22 | 8 |
| Otsuka America Pharmaceutical, Inc. | $122.00 | 6 |
| Janssen Pharmaceuticals, Inc | $110.90 | 5 |
What the 2025 payments were for
- Food and Beverage$1,778 · 109 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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