MADISON RAE GROBERG – Medical Physician Assistant, NPI 1043837404
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,972 PHYSICIAN ASSISTANT in UT
Provider Addresses for MADISON RAE GROBERG
195 W 1200 N
MAPLETON, UT 846643402
Phone:
Type: Mailing
165 OPAL CT APT C
SHELLEY, ID 832744920
Phone:
Type: Mailing
2705 E 17TH ST
AMMON, ID 834066601
Phone: (208) 346-7500
Type: Location
115 GOLF COURSE RD STE E
LOGAN, UT 843215934
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $770.
Total Amount is formed as General ($770) + Research ($0) + Ownership ($0) = $770.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($194).
Total Amount
$770
General + Research + Ownership
Payments
42
Total payment records
General Amount
$770
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $194 |
| Teva Pharmaceuticals USA, Inc. | $176 |
| Otsuka America Pharmaceutical, Inc. | $68 |
| Supernus Pharmaceuticals, Inc. | $55 |
| Lundbeck LLC | $44 |
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: 2021-06-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210602000587 | I | Physician Assistant | ID | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 22 | 12 | $0 |
Insurance plans in this area (ZIP 84664)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Mental Health Counselor | ID | |
| Clinical Psychologist | WV | |
| - | ID | |
| Mental Health Counselor | ID | |
| Mental Health Counselor | ID | |
| Mental Health Counselor | ID | |
| Psychiatry, Pediatric Medicine | LA | |
| Clinical Social Worker | ID | |
| Mental Health Counselor | ID |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.