MARIN GRANHOLM (MD) – Family Medicine Physician, NPI 1063633055
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
Provider Addresses for MARIN GRANHOLM (MD)
1201 E 36TH AVE
ANCHORAGE, AK 995084372
Phone: (907) 562-9229
Fax: (907) 562-1603
Type: Location
700 Chief Eddie Hoffman Highway
Bethel, AK 995590287
Phone: (907) 543-6300
Type: Location
4001 Dale St Ste 201
Anchorage, AK 995085445
Phone: (907) 569-3600
Fax: (907) 569-3200
Type: Location
PO BOX 4105
PORTLAND, OR 972084105
Phone: (866) 907-1068
Fax: (425) 917-9141
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080128000435 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 99508)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | UT | |
| Hospice/Palliative Care, Family Practice | OR | |
| Nurse Practitioner | OR | |
| Family Practice | PA | |
| - | OR | |
| - | WY | |
| N E U R O L O G Y | CA | |
| - | AK | |
| - | UT | |
| - | OR |
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