JEFFREY WAYNE GROSSMAN (MD) – Diagnostic Radiology Physician, NPI 1083751366
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
194 DIAGNOSTIC RADIOLOGY in ID
Provider Addresses for JEFFREY WAYNE GROSSMAN (MD)
22100 BOTHELL EVERETT HWY
BOTHELL, WA 980218431
Phone: (855) 687-7237
Fax: (855) 673-9190
Type: Mailing
2031 E MOUNTAIN VISTA DR
COEUR D ALENE, ID 838159683
Phone: (208) 570-3342
Type: Location
Saint Alphonsus Medical Center, 1512, 12th Avenue Road, Nampa, Canyon County, Idaho, 83686, United States
NAMPA, ID 836866008
Phone: (208) 463-5431
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $120.
Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.
Last reported payment date: 2023-11-10 • Largest payer in this snapshot: ARGON MEDICAL DEVICES, INC. ($120).
Total Amount
$120
General + Research + Ownership
Payments
1
Total payment records
General Amount
$120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ARGON MEDICAL DEVICES, INC. | $120 |
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: 2025-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080717000640 | I | Diagnostic Radiology | ID | TBD |
| I20251210000693 | I | Diagnostic Radiology | TX | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 366 | 362 | $0 |
| 71045 | X-ray of chest, 1 view | 266 | 254 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 205 | 205 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 151 | 151 | $0 |
| 72125 | Ct scan of upper spine without contrast | 119 | 119 | $0 |
Insurance plans in this area (ZIP 98021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | OH | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | AZ | |
| Interventional Radiology, Diagnostic Radiology | IN | |
| Diagnostic Radiology, Nuclear Medicine | OH | |
| Diagnostic Radiology | OH | |
| - | NC | |
| Diagnostic Radiology | SC |
Reviews
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