PETER BLAKE GRANGAARD (PA) – Physician Assistant, NPI 1356886733
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
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Provider Addresses for PETER BLAKE GRANGAARD (PA)
3800, Park Nicollet Boulevard, Elmwood, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
ST LOUIS PARK, MN 55416
Phone: (952) 993-3280
Fax: (952) 993-1312
Type: Mailing
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 554254516
Phone:
Type: Mailing
1945 VERSAILLES ST
SARASOTA, FL 342396900
Phone: (941) 365-0770
Fax: (833) 974-1480
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $760.
Total Amount is formed as General ($760) + Research ($0) + Ownership ($0) = $760.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Lilly USA, LLC ($201).
Total Amount
$760
General + Research + Ownership
Payments
51
Total payment records
General Amount
$760
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $201 |
| ABBVIE INC. | $149 |
| Amgen Inc. | $80 |
| Radius Health, Inc. | $77 |
| Janssen Scientific Affairs, LLC | $67 |
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: 2023-02-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230208000176 | I | Physician Assistant | FL | 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 |
|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 133 | 133 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 86 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 50 | 42 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | FL | |
| Internal Medicine, Rheumatology | FL | |
| Rheumatology, Internal Medicine | FL | |
| Hospitalist, Rheumatology | NM | |
| Rheumatology, Internal Medicine | FL | |
| R H E U M A T O L O G Y | FL | |
| R H E U M A T O L O G Y | FL | |
| Physician Assistant | IN | |
| Physician Assistant | OK | |
| R H E U M A T O L O G Y | FL |
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