DR. KRISTEN RAE GRUBB (MD) – Diagnostic Radiology Physician, NPI 1174581839
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,804 DIAGNOSTIC RADIOLOGY in OH
Provider Addresses for DR. KRISTEN RAE GRUBB (MD)
22100 BOTHELL EVERETT HWY
BOTHELL, WA 980218431
Phone: (855) 687-7237
Fax: (855) 687-7237
Type: Mailing
24493 CORNERSTONE
WESTLAKE, OH 441454125
Phone: (855) 687-7237
Fax: (855) 673-9190
Type: Location
11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States
SUITE 500
EDEN PRAIRIE, MN 553445347
Phone: (952) 595-1301
Fax: (612) 294-4903
Type: Mailing
41, Leeward Lane, Noank, Groton, Southeastern Connecticut Planning Region, Connecticut, 06340, United States
GROTON, CT 063404876
Phone: (952) 595-1100
Fax: (612) 294-4903
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: 2023-04-25
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 |
|---|---|---|---|---|
| I20180918003108 | I | Diagnostic Radiology | CO | TBD |
| I20230425002604 | I | Diagnostic Radiology | AZ | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 516 | 407 | $0 |
| 70450 | Ct scan head or brain without contrast | 280 | 272 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 194 | 191 | $0 |
| 71046 | X-ray of chest, 2 views | 134 | 131 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 104 | 104 | $0 |
Insurance plans in this area (ZIP 98021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Physician Assistant | UT | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | TX |
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