DR. DEREK WILLIAM GRADY (M.D.) – Neuroradiology Physician, NPI 1174940027
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,182 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for DR. DEREK WILLIAM GRADY (M.D.)
554 KEILY STREET
JACKSONVILLE, FL 32212
Phone: (757) 953-7550
Fax: (757) 953-7560
Type: Mailing
30 N MARIO CAPECCHI RM 2S100
SALT LAKE CITY, UT 84112
Phone: (801) 581-2121
Type: Mailing
USNH Guam
Bldg #50 Farenholt Ave
Agana Heights, GU 96910
Phone: (671) 344-9340
Type: Location
PSC 455 BOX 208
FPO, AP 965400003
Phone: (757) 953-7550
Fax: (757) 953-7560
Type: Mailing
USNH GUAM
BLDG #50 FARENHOLT AVE
AGANA HEIGHTS, GU 96910
Phone: (671) 344-9340
Type: Location
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: 2023-06-13
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20221122001634 | I | Diagnostic Radiology | CA | TBD |
| I20230613000070 | I | Diagnostic Radiology | GU | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 152 | 138 | $0 |
| 70450 | Ct scan head or brain without contrast | 100 | 97 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 65 | 64 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 43 | 42 | $0 |
| 71250 | Ct scan of chest without contrast | 25 | 25 | $0 |
Insurance plans in this area (ZIP 32212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Radiation Oncology | GA | |
| Diagnostic Radiology | CA | |
| Interventional Radiology, Diagnostic Radiology, Diagnostic Radiology, Interventional Radiology | VA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | AR | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | VA |
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