KAYLUN GRANDY (PA-C) – Physician Assistant, NPI 1467950154
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for KAYLUN GRANDY (PA-C)
250 Country Club Pkwy
Spring Creek, NV 898155830
Phone: (775) 750-7159
Fax: (775) 738-3222
Type: Location
47 Doc Perkes Rd
Afton, WY 831108311
Phone: (307) 885-3637
Type: Location
2761 Commercial Way
Rock Springs, WY 829014753
Phone: (307) 382-3064
Type: Location
740, South Woodruff Avenue, Idaho Falls, Bonneville County, Idaho, 83401, United States
IDAHO FALLS, ID 834015285
Phone: (208) 542-9111
Fax: (208) 542-9114
Type: Mailing
1952, Harrison Drive, Evanston, Uinta County, Wyoming, 82930, United States
EVANSTON, WY 829303241
Phone: (307) 382-3064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-07-06 • Largest payer in this snapshot: ABBVIE INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $16 |
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: 2020-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180920002301 | I | Physician Assistant | NV | TBD |
| I20200817001057 | I | Physician Assistant | WY | 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 | 55 | 50 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 45 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 42 | 42 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 39 | 11 | $0 |
Insurance plans in this area (ZIP 89815)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CT | |
| Nurse Practitioner | ID | |
| Physician Assistant | WA | |
| - | ID | |
| Physician Assistant | FL | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.