JONATHAN B GRENOBLE (M.D.) – Family Medicine Physician, NPI 1205869047

JONATHAN B GRENOBLE (M.D.) is a healthcare provider. based in Pittsfield, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 54069 (MA). The NPI Number for JONATHAN B GRENOBLE (M.D.) is 1205869047

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN B GRENOBLE (M.D.)
NPI
1205869047
Phone
(413) 442-1019
Address
20 ELM ST
Enumeration Date
7 July 2006
Last Update Date
3 August 2010

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
9931187739
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20040708001364
Address ID
IL600268001GL2600XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for JONATHAN B GRENOBLE (M.D.)

  • 20, Elm Street, Pittsfield, Berkshire County, Massachusetts, 01201, United States

    PITTSFIELD, MA 012016502

    Phone: (413) 442-1019

    Fax: (413) 447-8521

    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: 2004-07-08

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
I20040708001364IFamily PracticeMATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only889470$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes648159$0
99214Established patient office or other outpatient visit, 30-39 minutes537381$0
99213Established patient office or other outpatient visit, 20-29 minutes408302$0
G0444Annual depression screening, 5 to 15 minutes263263$0
View full utilization report →

Insurance plans in this area (ZIP 01201)

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Provider's Procedures

JONATHAN B GRENOBLE (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA81002Urinalysis, manual test9283
FAMILY MEDICINEMA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report1282620

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: 9032020490View full group profile

Reviews

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Frequently asked questions

Where can patients find JONATHAN B GRENOBLE (M.D.)'s NPI?
You can confirm JONATHAN B GRENOBLE (M.D.) with NPI 1205869047; it appears in the national provider directory.
Is JONATHAN B GRENOBLE (M.D.) currently active in the NPI registry?
CMS-published data lists JONATHAN B GRENOBLE (M.D.) as an active registrant.
What field does JONATHAN B GRENOBLE (M.D.) work in?
You can think of JONATHAN B GRENOBLE (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does JONATHAN B GRENOBLE (M.D.) practice in Massachusetts?
You will see Pittsfield, Massachusetts on file for JONATHAN B GRENOBLE (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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