BROOK ASHLEE GRAM (PA-C) – Physician Assistant, NPI 1740321090
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for BROOK ASHLEE GRAM (PA-C)
18586 5TH ST
BELOIT, OH 446099799
Phone: (330) 938-3333
Fax: (330) 938-9375
Type: Location
2242 PARKWAY BLVD
ALLIANCE, OH 446014650
Phone: (330) 823-7855
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 182 Open Payments records for all available years, with a total value of $24,430.
Total Amount is formed as General ($24,430) + Research ($0) + Ownership ($0) = $24,430.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($20,978).
Total Amount
$24,430
General + Research + Ownership
Payments
182
Total payment records
General Amount
$24,430
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $20,978 |
| ABBVIE INC. | $605 |
| Lilly USA, LLC | $389 |
| Bayer Healthcare Pharmaceuticals Inc. | $273 |
| E.R. Squibb & Sons, L.L.C. | $212 |
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: 2013-05-14
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 |
|---|---|---|---|---|
| I20130514000712 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 427 | 253 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 56 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 26 | 24 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 44609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | OH |
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