WALTER QUINTON GRADEK (MD) – Cardiovascular Disease Physician, NPI 1164490892

WALTER QUINTON GRADEK (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 046107 (GA). The NPI Number for WALTER QUINTON GRADEK (MD) is 1164490892

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
WALTER QUINTON GRADEK (MD)
NPI
1164490892
Phone
(206) 320-4476
Address
PO BOX 25608
Enumeration Date
9 March 2006
Last Update Date
11 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2068618550
Graduation Year
1997 (29 years ago)
PAC ID
4082622634
Group Practice PAC ID
7517870645
Professional Enrollment ID
I20190402001213
Address ID
WA981225788SE550XXAVEX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

637 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WA

Provider Addresses for WALTER QUINTON GRADEK (MD)

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • 1600 E JEFFERSON ST STE 600

    SEATTLE, WA 98122

    Phone: (206) 861-8550

    Fax: (206) 861-8551

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-04-02

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
I20190402001213ICardiovascular Disease (Cardiology)WATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,2721,096$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function337336$0
99214Established patient office or other outpatient visit, 30-39 minutes246160$0
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing11085$0
93308Ultrasound of heart, follow-up10399$0
View full utilization report →

Insurance plans in this area (ZIP 84125)

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Provider's Procedures

WALTER QUINTON GRADEK (MD) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies4545
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA85610Blood test, clotting time38947
CARDIOVASCULAR DISEASE (CARDIOLOGY)GA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report13561078

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: 7517870645View full group profile
NameSpecialtyState
Interventional CardiologyUT
Cardiovascular Disease (Cardiology)WA
-WA
Nurse PractitionerWA
Nurse PractitionerOR
-WA
Nurse PractitionerUT
Interventional CardiologyWA
Physician AssistantTN
Nurse PractitionerWA

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Frequently asked questions

What NPI should I save for WALTER QUINTON GRADEK (MD)?
Save NPI 1164490892 if you need a stable reference for WALTER QUINTON GRADEK (MD).
Is WALTER QUINTON GRADEK (MD) active in the national directory?
WALTER QUINTON GRADEK (MD)'s public NPI profile is in an active state.
What kind of provider is WALTER QUINTON GRADEK (MD)?
The page reflects Cardiovascular Disease Physician for WALTER QUINTON GRADEK (MD). Clinical services aligned with this taxonomy classification.
Does WALTER QUINTON GRADEK (MD) practice in Utah?
You will see Salt Lake City, Utah on file for WALTER QUINTON GRADEK (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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