DR. KENNETH JOHN GRAMYK (M.D.) – Emergency Medicine Physician, NPI 1598778136
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
269 EMERGENCY MEDICINE in ID
Provider Addresses for DR. KENNETH JOHN GRAMYK (M.D.)
Bonner County Hospital, 520, North 3rd Avenue, Sandpoint, Bonner County, Idaho, 83864, United States
SANDPOINT, ID 838641507
Phone: (208) 265-1020
Fax: (208) 265-1278
Type: Mailing
520 N 3rd Ave
Sandpoint, ID 838641507
Phone: (208) 265-1020
Fax: (208) 265-1278
Type: Location
5430 MacCorkle Ave SE
Charleston, WV 253042224
Phone: (304) 925-3627
Type: Location
PO BOX 190930
BOISE, ID 837190930
Phone: (083) 675-1702
Fax: (208) 367-5180
Type: Mailing
6051 W EMERALD ST
BOISE, ID 837048969
Phone: (208) 302-5150
Fax: (208) 302-5155
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: 2025-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20050328000842 | I | Emergency Medicine | ID | TBD |
| I20230207001481 | I | Emergency Medicine | CA | TBD |
| I20231007000161 | I | Emergency Medicine | TX | TBD |
| I20240926000054 | I | Emergency Medicine | WV | TBD |
| I20250109000418 | I | Emergency Medicine | WA | TBD |
| I20250831000031 | I | Emergency Medicine | MD | TBD |
| I20250904002599 | I | Emergency Medicine | FL | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 23 | 22 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine, Critical Care (Intensivists), Pulmonary Disease | CA | |
| Emergency Medicine | NJ | |
| Emergency Medicine | DC | |
| Emergency Medicine | NY | |
| Emergency Medicine | CA | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX |
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