DR. TIMOTHY S GRANGE (MD) – Physical Medicine & Rehabilitation Physician, NPI 1932169430
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
153 PHYSICAL MEDICINE AND REHABILITATION in UT
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Provider Addresses for DR. TIMOTHY S GRANGE (MD)
4052, Pioneer Parkway, Western Acres, West Valley City, Salt Lake County, Utah, 84120, United States
SUITE 208
SALT LAKE CITY, UT 841202062
Phone: (801) 955-1232
Fax: (801) 955-1543
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 125 Open Payments records for all available years, with a total value of $3,298.
Total Amount is formed as General ($3,298) + Research ($0) + Ownership ($0) = $3,298.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Boston Scientific Corporation ($928).
Total Amount
$3,298
General + Research + Ownership
Payments
125
Total payment records
General Amount
$3,298
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $928 |
| ABBVIE INC. | $660 |
| Collegium Pharmaceutical, Inc. | $288 |
| Medtronic, Inc. | $268 |
| PFIZER INC. | $156 |
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: 2005-11-15
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 |
|---|---|---|---|---|
| I20051115000873 | I | Physical Medicine And Rehabilitation | UT | 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 | 583 | 153 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 169 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 51 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 32 | 23 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 15 | 12 | $0 |
Insurance plans in this area (ZIP 84120)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | UT | 62311 | Injections of substances into lower or sacral spine | 29 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Pain Management, Internal Medicine | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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