DR. CRAIG M. GROSE (M.D.) – Family Medicine Physician, NPI 1003854878

DR. CRAIG M. GROSE (M.D.) is a healthcare provider. based in Provo, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 3243941205 (UT). The NPI Number for DR. CRAIG M. GROSE (M.D.) is 1003854878

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRAIG M. GROSE (M.D.)
NPI
1003854878
Phone
(801) 354-8225
Address
1055 NORTH 500 WEST ATTN: CREDENTIALING
Enumeration Date
3 June 2006
Last Update Date
13 November 2023

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8018125591
Graduation Year
1995 (31 years ago)
PAC ID
2466345087
Group Practice PAC ID
7517868508
Professional Enrollment ID
I20040205001317
Address ID
UT846067311PR512XXPKWY400
Telehealth
Yes

Contacts

Secure Messaging
medreview@reverehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,136 FAMILY PRACTICE in UT

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Provider Addresses for DR. CRAIG M. GROSE (M.D.)

  • 1055 NORTH 500 WEST ATTN: CREDENTIALING

    PROVO, UT 846043305

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • Fillmore Community Medical Center Heliport, I 15 Bus;SR 99, Fillmore, Millard County, Utah, 84631, United States

    FILLMORE, UT 846315134

    Phone: (435) 864-3333

    Fax: (435) 864-2790

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($97).

Total Amount

$163

General + Research + Ownership

Payments

8

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-05

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
I20040205001317IFamily PracticeUTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes557232$0
99213Established patient office or other outpatient visit, 20-29 minutes343194$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21936$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit210210$0
36415Insertion of needle into vein for collection of blood sample150129$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517868508View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. CRAIG M. GROSE (M.D.) across health systems?
The NPI 1003854878 uniquely identifies DR. CRAIG M. GROSE (M.D.) in U.S. healthcare data.
Is DR. CRAIG M. GROSE (M.D.)'s NPI status active today?
Active status means DR. CRAIG M. GROSE (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. CRAIG M. GROSE (M.D.) does?
Insurance directories may phrase it differently, but here DR. CRAIG M. GROSE (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. CRAIG M. GROSE (M.D.) in Provo, Utah?
For routing, start with Provo, Utah for DR. CRAIG M. GROSE (M.D.), then verify phone and hours locally.
Can I export DR. CRAIG M. GROSE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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