DR. FREDERICK DANIEL GROSSMAN (PHD) – Clinical Psychologist, NPI 1871673509
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
647 CLINICAL PSYCHOLOGIST in OR
Provider Addresses for DR. FREDERICK DANIEL GROSSMAN (PHD)
1130 NW 12TH AVE APT 614
PORTLAND, OR 972092860
Phone: (503) 505-7227
Fax: (503) 564-0739
Type: Location
408 NW 12TH AVE STE 502
PORTLAND, OR 972092947
Phone: (503) 505-7227
Fax: (503) 564-0739
Type: Mailing
10365 SE SUNNYSIDE RD STE 200
CLACKAMAS, OR 970155749
Phone: (503) 505-7227
Fax: (503) 564-0739
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2010-02-08
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 |
|---|---|---|---|---|
| I20100208000802 | I | Clinical Psychologist | OR | 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 |
|---|---|---|---|---|
| 96131 | Evaluation of psychological test, each additional hour | 895 | 325 | $0 |
| 96130 | Evaluation of psychological test, first hour | 324 | 324 | $0 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 299 | 299 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 37 | 37 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 25 | 25 | $0 |
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