JONATHAN E. GERBODE-GRANT – Family Nurse Practitioner, NPI 1780174086
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,972 NURSE PRACTITIONER in MA
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Provider Addresses for JONATHAN E. GERBODE-GRANT
5, Neponset Street, Worcester, Worcester County, Massachusetts, 01606, United States
WOT 2ND FL, STE C203
WORCESTER, MA 016062714
Phone: (508) 721-1170
Fax: (508) 832-0859
Type: Mailing
Auburn Mall, 385, Southbridge Street, Drury Square, Auburn, Worcester County, Massachusetts, 01501, United States
AUBURN, MA 015012498
Phone: (508) 721-1170
Fax: (508) 832-0859
Type: Location
830 BOYLSTON ST STE 205
CHESTNUT HILL, MA 024672502
Phone: (617) 732-1318
Fax: (617) 734-5763
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $199.
Total Amount is formed as General ($199) + Research ($0) + Ownership ($0) = $199.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Dexcom, Inc. ($148).
Total Amount
$199
General + Research + Ownership
Payments
3
Total payment records
General Amount
$199
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $148 |
| HeartFlow, Inc. | $51 |
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: 2018-10-17
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 |
|---|---|---|---|---|
| I20181017001285 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 90 | 60 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 01606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Physician Assistant | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine | MA | |
| Cardiovascular Disease (Cardiology) | MA | |
| Infectious Disease | MA |
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