Doctor profile · Federal record

Dr. Ricky Grisson, M.D.

Clinical Pathology/Laboratory Medicine Physician · Anatomic Pathology & Clinical Pathology Physician · Clinical Pathology/Laboratory Medicine Physician · Providence, RI

  • NPI 1093910606
  • 19 yrs on file
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
117 Ellenfield St Ste 101
Providence, RI 029054541
(401) 444-6779
Mailing address
Massachusetts General Hospital, 55 Fruit Street
Boston, MA 02114

Credentials & registration

NPPES · NUCC
NPI registered
June 2007 — 19 yrs on file
Profile last updated
October 7, 2020
Specialty taxonomy
207ZP0105X — NUCC code
State licenses (3)
Rhode Island #MD15414 · Massachusetts #L-232504 · California #A121170

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093910606. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,396
Distinct HCPCS
4
Medicare allowed
$24,862
HCPCS Description Services Patients Avg allowed
86334 Immunologic analysis technique on serum (immunofixation) 653 499 $18
84165 Protein measurement, serum 570 417 $18
84166 Protein measurement, body fluid 114 113 $18
86335 Immunologic analysis technique on body fluid, other fluids with concentration 59 57 $18

In context: peer comparison

Among 1 peers in Providence Clinical Pathology/Laboratory Medicine Physician, average services per provider: 349. This provider delivers 4.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Ricky Grisson's medical specialty?
Dr. Ricky Grisson practices Clinical Pathology/Laboratory Medicine Physician in Providence, RI.
Where does Dr. Ricky Grisson practice?
Dr. Ricky Grisson practices at 117 Ellenfield St Ste 101, Providence, RI 029054541. Office phone: 4014446779.
What is Dr. Ricky Grisson's NPI?
Dr. Ricky Grisson's National Provider Identifier (NPI) is 1093910606, issued by NPPES.
What procedures does Dr. Ricky Grisson commonly perform?
Top Medicare-reported procedures in 2023: Immunologic analysis technique on serum (immunofixation) (HCPCS 86334); Protein measurement, serum (HCPCS 84165); Protein measurement, body fluid (HCPCS 84166). Source: CMS Medicare Physician & Other Practitioners file.