RAFAEL J GROSSMANN (MD) – Trauma Surgery Physician, NPI 1790711430
Trauma Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
240 GENERAL SURGERY in NH
Provider Addresses for RAFAEL J GROSSMANN (MD)
43 WHITING HILL RD STE 300
BREWER, ME 044121006
Phone: (207) 973-5035
Fax: (207) 973-5042
Type: Mailing
330 BORTHWICK AVE SUITE 308
PORTSMOUTH, NH 03801
Phone: (603) 334-6260
Fax: (603) 334-6253
Type: Location
Eastern Maine Medical Center, 489, State Street, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044016616
Phone: (207) 973-7000
Fax: (207) 973-5042
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,278.
Total Amount is formed as General ($1,278) + Research ($0) + Ownership ($0) = $1,278.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Medtronic, Inc. ($849).
Total Amount
$1,278
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,278
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $849 |
| Eko Health, Inc. | $429 |
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: 2021-05-12
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 |
|---|---|---|---|---|
| I20210512001336 | I | General Surgery | NH | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 16 | $0 |
Insurance plans in this area (ZIP 04412)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Physician Assistant | NH | |
| General Surgery | CA | |
| Nurse Practitioner | NH | |
| Physician Assistant | MA | |
| General Surgery | CO | |
| Physician Assistant | NH | |
| Physician Assistant | CT | |
| General Surgery | CT | |
| Nurse Practitioner | NH |
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