EDWARD GRADMAN – Certified Registered Nurse Anesthetist, NPI 1366830432
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK
Provider Addresses for EDWARD GRADMAN
430 N MONTE VISTA ST
ADA, OK 748204610
Phone: (580) 332-2323
Type: Location
3998 FAIR RIDGE DRIVE
SUITE 300
FAIRFAX, VA 220332921
Phone: (703) 295-9360
Fax: (703) 766-9725
Type: Mailing
3249 OAK PARK AVE
BERWYN, IL 604023429
Phone: (708) 783-9100
Type: Location
1710 W 3RD ST STE 100
ELK CITY, OK 736445160
Phone: (703) 295-9360
Fax: (703) 766-9725
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Chiesi USA, Inc. ($67).
Total Amount
$132
General + Research + Ownership
Payments
5
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Chiesi USA, Inc. | $67 |
| Merck Sharp & Dohme LLC | $50 |
| Edwards Lifesciences Corporation | $15 |
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: 2022-08-15
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 |
|---|---|---|---|---|
| I20150219000264 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20220815002121 | I | Certified Registered Nurse Anesthetist (Crna) | OK | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74820)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | IL | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | IL |
Reviews
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