DR. GRACE COLLINS BRUMMER (MD) – Dermatology Physician, NPI 1902394463

DR. GRACE COLLINS BRUMMER (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 11421556-1205 (UT). The NPI Number for DR. GRACE COLLINS BRUMMER (MD) is 1902394463

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRACE COLLINS BRUMMER (MD)
NPI
1902394463
Phone
(801) 581-5509
Address
30 N 1900 E RM 4A330
Enumeration Date
30 April 2018
Last Update Date
12 September 2019

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
8012668841
Graduation Year
2018 (8 years ago)
PAC ID
1557794856
Group Practice PAC ID
1557392313
Professional Enrollment ID
I20220927002333
Address ID
UT841175209SA1548X4500303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

197 DERMATOLOGY in UT

Provider Addresses for DR. GRACE COLLINS BRUMMER (MD)

  • 30 N 1900 E RM 4A330

    SALT LAKE CITY, UT 841320002

    Phone: (801) 581-5509

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 115 Open Payments records for all available years, with a total value of $2,036.

Total Amount is formed as General ($2,036) + Research ($0) + Ownership ($0) = $2,036.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($451).

Total Amount

$2,036

General + Research + Ownership

Payments

115

Total payment records

General Amount

$2,036

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2022-09-27

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
I20220927002333IDermatologyUTTBD

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
17003Destruction of precancer skin growth, 2-14 growths495128$0
99213Established patient office or other outpatient visit, 20-29 minutes275209$0
17000Destruction of precancer skin growth, 1 growth219185$0
17110Destruction of skin growth, 1-14 growths143119$0
11102Biopsy of related skin growth, first growth134121$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 1557392313View full group profile
NameSpecialtyState
Physician AssistantDC
Physician AssistantUT
Physician AssistantUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
D E R M A T O L O G YUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GRACE COLLINS BRUMMER (MD)?
DR. GRACE COLLINS BRUMMER (MD) — NPI 1902394463 — is the standard way to identify this listing.
Does the file indicate DR. GRACE COLLINS BRUMMER (MD) is practicing under active NPI?
Directory data currently reports DR. GRACE COLLINS BRUMMER (MD) as active.
What is DR. GRACE COLLINS BRUMMER (MD) best known for clinically?
Directory data describes DR. GRACE COLLINS BRUMMER (MD) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. GRACE COLLINS BRUMMER (MD) serve?
DR. GRACE COLLINS BRUMMER (MD)'s listing highlights Salt Lake City, Utah; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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