JEANNE THERESE GROSSMAN (MD) – Family Medicine Physician, NPI 1720076078

JEANNE THERESE GROSSMAN (MD) is a healthcare provider. based in Corydon, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01049002A (IN). The NPI Number for JEANNE THERESE GROSSMAN (MD) is 1720076078

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE THERESE GROSSMAN (MD)
NPI
1720076078
Phone
(812) 738-8136
Address
1263 HOSPITAL DR NW STE 250
Enumeration Date
11 October 2005
Last Update Date
6 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
8128010810
Graduation Year
1997 (29 years ago)
PAC ID
9436127628
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20040924000560
Address ID
IN472507328MA1373XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,861 FAMILY PRACTICE in IN

Provider Addresses for JEANNE THERESE GROSSMAN (MD)

  • 1263 HOSPITAL DR NW STE 250

    CORYDON, IN 471122176

    Phone: (812) 738-8136

    Fax: (812) 738-3155

    Mailing address matches the actual address.

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: 2004-09-24

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
I20040924000560IFamily PracticeINTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes355129$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7373$0
99215Established patient office or other outpatient visit, 40-54 minutes6447$0
G0008Administration of influenza virus vaccine4848$0
90662Influenza vaccine split virus, preservative free4747$0
View full utilization report →

Insurance plans in this area (ZIP 47112)

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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: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

How is JEANNE THERESE GROSSMAN (MD) identified in CMS data?
CMS-hosted NPPES data lists JEANNE THERESE GROSSMAN (MD) with NPI 1720076078.
Does CMS list JEANNE THERESE GROSSMAN (MD) as active?
Yes — JEANNE THERESE GROSSMAN (MD) is active in the NPI listing used on this page.
What healthcare role does JEANNE THERESE GROSSMAN (MD) hold?
Scheduling teams often label JEANNE THERESE GROSSMAN (MD) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JEANNE THERESE GROSSMAN (MD) list a practice location?
Patients near Corydon, Indiana may find JEANNE THERESE GROSSMAN (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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