THOMAS R GRAVELYN (M.D.) – Sleep Medicine (Internal Medicine) Physician, NPI 1760442636
Sleep Medicine (Internal Medicine) Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
657 PULMONARY DISEASE in MI
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Provider Addresses for THOMAS R GRAVELYN (M.D.)
Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States
PO BOX 0446 LOBBY J
ANN ARBOR, MI 481059484
Phone: (734) 747-6766
Fax: (734) 222-3100
Type: Mailing
McAuley Drive, Ypsilanti, Washtenaw County, Michigan, 48107, United States
SUITE 3111
YPSILANTI, MI 481971014
Phone: (734) 712-7688
Fax: (734) 712-7056
Type: Location
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.
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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: 2005-02-28
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 |
|---|---|---|---|---|
| I20050228000374 | I | Pulmonary Disease | MI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 161 | 155 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 141 | 139 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 82 | 82 | $0 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 81 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 57 | $0 |
Insurance plans in this area (ZIP 48105)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | MI | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | MI | |
| Interventional Radiology | MI | |
| Cardiovascular Disease (Cardiology) | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| - | MI | |
| Internal Medicine, Geriatric Medicine | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Hospitalist, Internal Medicine | MI |
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