DR. GARY DOUGLAS GRIDLEY (M.D.) – Anesthesiology Physician, NPI 1336120260
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,514 ANESTHESIOLOGY in WA
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Provider Addresses for DR. GARY DOUGLAS GRIDLEY (M.D.)
St. Anne Hospital, 16251, Sylvester Road Southwest, Five Corners, Burien, King County, Washington, 98166, United States
BURIEN, WA 981663017
Phone: (206) 244-1212
Fax: (206) 244-1223
Type: Location
PO BOX 48159
BURIEN, WA 981480159
Phone: (206) 244-1212
Fax: (206) 244-1223
Type: Mailing
269 S CANDY LN
COTTONWOOD, AZ 863264158
Phone: (928) 639-6150
Fax: (928) 639-6561
Type: Location
1200 N BEAVER ST
PAYER CREDENTIALING
FLAGSTAFF, AZ 860013118
Phone: (928) 213-6235
Type: Mailing
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: 2022-09-23
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 |
|---|---|---|---|---|
| I20040429001149 | I | Anesthesiology | WA | TBD |
| I20220923001457 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 43 | 43 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 26 | 26 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 25 | 25 | $0 |
| 00840 | Anesthesia for other procedure on lower abdomen | 16 | 16 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98166)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | AZ | |
| Physician Assistant | CA | |
| H O S P I T A L I S T | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | AZ | |
| A N E S T H E S I O L O G Y | NV | |
| Family Practice | AZ | |
| Physician Assistant | CA |
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