JAY SAMUEL GRIDER (DO, PHD) – Anesthesiology Physician, NPI 1255422887
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
138 PAIN MANAGEMENT in KY
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Provider Addresses for JAY SAMUEL GRIDER (DO, PHD)
2333, Alumni Park Plaza, Lexington, Fayette County, Kentucky, 40517, United States
SUITE 200
LEXINGTON, KY 405174012
Phone: (859) 257-7910
Type: Mailing
Good Samaritan Hospital, 310, South Limestone, Central Business District, Lexington, Fayette County, Kentucky, 40508, United States
SUITE 100A
LEXINGTON, KY 405083008
Phone: (859) 323-7246
Fax: (859) 257-6612
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $5,093.
Total Amount is formed as General ($5,093) + Research ($0) + Ownership ($0) = $5,093.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($4,554).
Total Amount
$5,093
General + Research + Ownership
Payments
19
Total payment records
General Amount
$5,093
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $4,554 |
| Boston Scientific Corporation | $149 |
| SPR Therapeutics, Inc | $145 |
| Spinal Simplicity, LLC | $116 |
| SI-BONE, INC. | $114 |
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: 2004-06-04
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 |
|---|---|---|---|---|
| I20040604000280 | I | Pain Management | KY | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 16 | 16 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 40517)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | KY | |
| A N E S T H E S I O L O G Y | FL | |
| Pediatric Medicine | KY | |
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Critical Care (Intensivists), Pulmonary Disease | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Internal Medicine | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| Pediatric Medicine, Internal Medicine | KY |
Reviews
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