DR. BRIAN P GRADISEK (D.P.M.) – Podiatrist, NPI 1700178092

DR. BRIAN P GRADISEK (D.P.M.) is a healthcare provider. based in Boulder, Colorado. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 016005597 (IL). The NPI Number for DR. BRIAN P GRADISEK (D.P.M.) is 1700178092

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN P GRADISEK (D.P.M.)
NPI
1700178092
Phone
(303) 449-2000
Address
1400 28TH ST STE 2
Enumeration Date
5 May 2011
Last Update Date
27 July 2016

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3034492000
Graduation Year
2011 (15 years ago)
PAC ID
5698994515
Group Practice PAC ID
4789049339
Professional Enrollment ID
I20150924001519
Address ID
CO803031096BO1400XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

257 PODIATRY in CO

Provider Addresses for DR. BRIAN P GRADISEK (D.P.M.)

  • 1400 28TH ST STE 2

    BOULDER, CO 803031096

    Phone: (303) 449-2000

    Fax: (303) 449-9475

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $168.

Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Stryker Corporation ($83).

Total Amount

$168

General + Research + Ownership

Payments

7

Total payment records

General Amount

$168

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150924001519IPodiatryCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
73630X-ray of foot, minimum of 3 views196103$0
99213Established patient office or other outpatient visit, 20-29 minutes152104$0
99214Established patient office or other outpatient visit, 30-39 minutes12790$0
99203New patient office or other outpatient visit, 30-44 minutes8181$0
64455Injection of anesthetic and/or steroid drug into foot nerve3214$0
View full utilization report →

Insurance plans in this area (ZIP 80303)

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Provider's Procedures

DR. BRIAN P GRADISEK (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCO73630X-ray of foot, minimum of 3 views16993

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789049339View full group profile
NameSpecialtyState
P O D I A T R YCO
P O D I A T R YCO

Reviews

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Frequently asked questions

Is there an official ID for DR. BRIAN P GRADISEK (D.P.M.) in U.S. healthcare records?
The official identifier for DR. BRIAN P GRADISEK (D.P.M.) is NPI 1700178092.
Is DR. BRIAN P GRADISEK (D.P.M.) still an active registrant?
DR. BRIAN P GRADISEK (D.P.M.) carries an active NPI according to the public dataset.
What area of care is associated with DR. BRIAN P GRADISEK (D.P.M.)?
DR. BRIAN P GRADISEK (D.P.M.)'s record emphasizes Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. BRIAN P GRADISEK (D.P.M.) located near Boulder?
DR. BRIAN P GRADISEK (D.P.M.) currently maps to Boulder, Colorado in this extract.
When was this NPI issued?
Enumeration for DR. BRIAN P GRADISEK (D.P.M.) is noted as May 5, 2011 where the registry provides it.

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