GRAYSON GAYNOR COLE (D.D.S.) – Oral and Maxillofacial Pathology Dentistry, NPI 1821614165

GRAYSON GAYNOR COLE (D.D.S.) is a healthcare provider. based in Chicago, Illinois. specializing in ORAL AND MAXILLOFACIAL PATHOLOGY. They hold the professional credentials D.D.S.. They hold a License No. 019034056 (IL). The NPI Number for GRAYSON GAYNOR COLE (D.D.S.) is 1821614165

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
GRAYSON GAYNOR COLE (D.D.S.)
NPI
1821614165
Phone
(773) 834-7708
Address
5841 S Maryland Ave # Mc3083
Enumeration Date
23 June 2020
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
Secondary Phone
2168441000
Graduation Year
2020 (6 years ago)
PAC ID
4284179045
Group Practice PAC ID
4789682493
Professional Enrollment ID
I20240716004540
Address ID
OH441061716CL11100AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:5State licenses:2Digital endpointsOther names

1 ORAL AND MAXILLOFACIAL PATHOLOGY in IL

Provider Addresses for GRAYSON GAYNOR COLE (D.D.S.)

  • 5841 S Maryland Ave # Mc3083

    Chicago, IL 606371443

    Phone: (773) 834-7708

    Fax: (773) 834-7644

    Type: Location

  • 3600 FORBES AVENUE

    FORBES TOWER - PLAZA LEVEL SUITE 140

    PITTSBURGH, PA 15213

    Phone:

    Type: Mailing

  • 3501 TERRACE ST

    G-144 SALK HALL

    PITTSBURGH, PA 15261

    Phone: (414) 648-8629

    Type: Location

  • 11100 EUCLID AVE

    CLEVELAND, OH 441061716

    Phone: (216) 844-8447

    Type: Mailing

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: 2024-07-16

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
I20240716004540IOral And Maxillofacial PathologyOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60637)

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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: 4789682493View full group profile
NameSpecialtyState
-OH
-MI
Hospitalist, Internal MedicineOH
-TX
-OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
O B S T E T R I C S/ G Y N E C O L O G YOH
-OH
-OH

Reviews

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Frequently asked questions

What identifier follows GRAYSON GAYNOR COLE (D.D.S.) across health systems?
The NPI 1821614165 uniquely identifies GRAYSON GAYNOR COLE (D.D.S.) in U.S. healthcare data.
Quick check: is GRAYSON GAYNOR COLE (D.D.S.) active?
Public NPPES data shows GRAYSON GAYNOR COLE (D.D.S.) with an active NPI status right now.
What type of care does GRAYSON GAYNOR COLE (D.D.S.) provide?
GRAYSON GAYNOR COLE (D.D.S.)'s profile centers on Oral and Maxillofacial Pathology Dentistry. Clinical services aligned with this taxonomy classification.
Can patients visit GRAYSON GAYNOR COLE (D.D.S.) in Chicago, Illinois?
For routing, start with Chicago, Illinois for GRAYSON GAYNOR COLE (D.D.S.), then verify phone and hours locally.
Why is information missing for GRAYSON GAYNOR COLE (D.D.S.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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