DR. RYAN LEWIS VAN DE GRAAFF (MD) – Otolaryngology Physician, NPI 1619067436
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
49 OTOLARYNGOLOGY in ID
Loading map...
Provider Addresses for DR. RYAN LEWIS VAN DE GRAAFF (MD)
900, North Liberty Street, Boise, Ada County, Idaho, 83704, United States
STE 400
BOISE, ID 83704
Phone: (208) 367-3320
Fax: (208) 367-7474
Type: Mailing
900, North Liberty Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States
STE 400
BOISE, ID 83704
Phone: (208) 367-3320
Fax: (208) 367-7474
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2023-08-15 • Largest payer in this snapshot: MED-EL Corporation ($52).
Total Amount
$72
General + Research + Ownership
Payments
2
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MED-EL Corporation | $52 |
| GENZYME CORPORATION | $20 |
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: 2008-08-14
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 |
|---|---|---|---|---|
| I20080814000156 | I | Otolaryngology | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 314 | 209 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 140 | 109 | $0 |
| 69210 | Removal of impacted ear wax | 98 | 55 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 96 | 96 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 54 | $0 |
Insurance plans in this area (ZIP 83704)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | ID | |
| Physician Assistant | ID | |
| O T O L A R Y N G O L O G Y | OR | |
| Qualified Audiologist | WA | |
| - | ID | |
| Qualified Audiologist | ID | |
| - | ID | |
| O T O L A R Y N G O L O G Y | NE | |
| O T O L A R Y N G O L O G Y | ID | |
| Physician Assistant | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.