HAILEY GRUBBS (DO) – Dermatology Physician, NPI 1114487246
Dermatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
808 DERMATOLOGY in PA
Provider Addresses for HAILEY GRUBBS (DO)
2221 Garrett Rd
Drexel Hill, PA 190261101
Phone: (610) 623-5885
Type: Location
7800 W. Oakland Park Boulevard
S. 116
Sunrise, FL 33351
Phone: (954) 742-0306
Type: Location
1600 S ANDREWS AVE FL 33316
FORT LAUDERDALE, FL 333162510
Phone: (954) 355-4400
Type: Location
1213, Trailwood Drive, Indian Trails, Neptune Beach, Duval County, Florida, 32266, United States
NEPTUNE BEACH, FL 322661530
Phone:
Type: Mailing
1286 FLORIDA AVE S STE 1
ROCKLEDGE, FL 329552400
Phone: (321) 301-4747
Fax: (321) 636-1152
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $2,410.
Total Amount is formed as General ($2,410) + Research ($0) + Ownership ($0) = $2,410.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: GENZYME CORPORATION ($426).
Total Amount
$2,410
General + Research + Ownership
Payments
80
Total payment records
General Amount
$2,410
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 |
|---|---|
| GENZYME CORPORATION | $426 |
| PFIZER INC. | $286 |
| Janssen Biotech, Inc. | $278 |
| Organogenesis Inc. | $235 |
| ABBVIE INC. | $229 |
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: 2024-07-31
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 |
|---|---|---|---|---|
| I20230707001505 | I | Dermatology | FL | TBD |
| I20240731000107 | I | Dermatology | PA | 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 19026)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Dermatology, Pathology | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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