DR. JUAN CARLOS MARTINEZ GRULLON (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1154589950
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PLASTIC AND RECONSTRUCTIVE SURGERY in PA
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Provider Addresses for DR. JUAN CARLOS MARTINEZ GRULLON (M.D.)
170, West Broad Street, New Bethlehem, Clarion County, Pennsylvania, 16242, United States
BETHLEHEM, PA 180185738
Phone: (484) 526-1260
Fax: (484) 526-1265
Type: Mailing
1250 8TH AVE STE 265
FORT WORTH, TX 761044124
Phone: (682) 200-8580
Fax: (682) 200-8581
Type: Location
1250 8TH AVE
STE 265
FORT WORTH, TX 761044124
Phone: (682) 200-8580
Fax: (682) 200-8581
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 $292.
Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Davol Inc. ($114).
Total Amount
$292
General + Research + Ownership
Payments
5
Total payment records
General Amount
$292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $114 |
| ABBVIE INC. | $105 |
| Ethicon US, LLC | $33 |
| Baxter Healthcare | $24 |
| TELA Bio, Inc. | $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: 2022-02-21
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 |
|---|---|---|---|---|
| I20131211000863 | I | Plastic And Reconstructive Surgery | PA | TBD |
| I20220221000322 | I | Plastic And Reconstructive Surgery | TX | 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 18018)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| C H I R O P R A C T I C | PA | |
| - | PA | |
| - | PA | |
| - | TX | |
| - | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA |
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