MS. TERESA GRAKLANOFF (PA-C) – Physician Assistant, NPI 1265461479
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
1,534 PHYSICIAN ASSISTANT in ID
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Provider Addresses for MS. TERESA GRAKLANOFF (PA-C)
1618, South Millennium Way, Meridian, Ada County, Idaho, 83642, United States
SUITE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Location
1618 S MILLENIUM WAY STE 100
MERIDIAN, ID 836426457
Phone: (208) 884-3376
Fax: (208) 884-0858
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 120 Open Payments records for all available years, with a total value of $2,219.
Total Amount is formed as General ($2,219) + Research ($0) + Ownership ($0) = $2,219.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($796).
Total Amount
$2,219
General + Research + Ownership
Payments
120
Total payment records
General Amount
$2,219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $796 |
| Regeneron Healthcare Solutions, Inc. | $554 |
| Novartis Pharmaceuticals Corporation | $266 |
| Janssen Biotech, Inc. | $131 |
| Incyte Corporation | $130 |
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: 2005-12-01
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 |
|---|---|---|---|---|
| I20051201000569 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 767 | 173 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 427 | 358 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 279 | 227 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 96 | 88 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 65 | 63 | $0 |
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | ID | 11101 | Biopsy of each additional growth of skin and/or tissue | 19 | 15 |
| PHYSICIAN ASSISTANT | ID | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 13 | 13 |
| PHYSICIAN ASSISTANT | ID | 17003 | Destruction of 2-14 skin growths | 882 | 179 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| D E R M A T O L O G Y | AL | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | MN | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| D E R M A T O L O G Y | ID | |
| Physician Assistant | ID |
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