DR. JORDAN GRAYBILL (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1053585802
Pain Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 ANESTHESIOLOGY in WA
Provider Addresses for DR. JORDAN GRAYBILL (M.D.)
Northeast 112th Avenue, Vancouver, Clark County, Washington, 98662, United States
VANCOUVER, WA 986845114
Phone: (360) 314-2548
Fax: (360) 799-4634
Type: Mailing
222 NE PARK PLAZA DR STE 110
VANCOUVER, WA 986845896
Phone: (360) 314-2548
Fax: (360) 799-4634
Type: Mailing
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 $777.
Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: SI-BONE, INC. ($556).
Total Amount
$777
General + Research + Ownership
Payments
8
Total payment records
General Amount
$777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $556 |
| Pacira Pharmaceuticals Incorporated | $203 |
| Abbott Laboratories | $17 |
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: 2015-07-14
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 |
|---|---|---|---|---|
| I20150714002721 | I | Anesthesiology | WA | 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 |
|---|---|---|---|---|
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 5,859 | 57 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 3,010 | 75 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 430 | 106 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 365 | 81 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 54 | 26 | $0 |
Insurance plans in this area (ZIP 98684)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | OR | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 29 | 17 |
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