OSCAR JEFFERSON GRYN (DO) – Otolaryngology Physician, NPI 1619554292

OSCAR JEFFERSON GRYN (DO) is a healthcare provider. based in Ambler, Pennsylvania. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. OS023651 (PA). The NPI Number for OSCAR JEFFERSON GRYN (DO) is 1619554292

Main info

Male
Sole Proprietor
5 Years Of Experience
Name
OSCAR JEFFERSON GRYN (DO)
NPI
1619554292
Phone
(215) 870-0194
Address
1301 EVANS RD
Enumeration Date
28 March 2021
Last Update Date
2 January 2026

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
7416350012
Professional Enrollment ID
I20260202002570
Address ID
NY118014611HI3XXXXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

537 OTOLARYNGOLOGY in OH

Provider Addresses for OSCAR JEFFERSON GRYN (DO)

  • 1301 EVANS RD

    AMBLER, PA 190021703

    Phone: (215) 870-0194

    Type: Mailing

  • 1900 23RD ST

    CUYAHOGA FALLS, OH 442231404

    Phone: (215) 870-0194

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $572.

Total Amount is formed as General ($572) + Research ($0) + Ownership ($0) = $572.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($323).

Total Amount

$572

General + Research + Ownership

Payments

6

Total payment records

General Amount

$572

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2026-02-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260202002570IOtolaryngologyPATBD

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.

Verify on CMS Revalidation Lookup Tool

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 19002)

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Reviews

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Frequently asked questions

What unique ID ties claims to OSCAR JEFFERSON GRYN (DO)?
NPI 1619554292 is assigned to OSCAR JEFFERSON GRYN (DO) under the national enumeration system.
Is OSCAR JEFFERSON GRYN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does OSCAR JEFFERSON GRYN (DO) list a primary specialty?
If you are matching referrals, note Otolaryngology Physician for OSCAR JEFFERSON GRYN (DO). Clinical services aligned with this taxonomy classification.
What location metadata exists for OSCAR JEFFERSON GRYN (DO)?
The page summarizes Ambler, Pennsylvania for OSCAR JEFFERSON GRYN (DO); expand the address list for detail.
Is OSCAR JEFFERSON GRYN (DO) a real provider?
This page reflects official NPPES data for NPI 1619554292. Always confirm identity and privileges with the practice and licensing boards.

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