GRACI MARIE GORMAN (MD) – Emergency Medicine Physician, NPI 1912564865

GRACI MARIE GORMAN (MD) is a healthcare provider. based in Stillwater, Minnesota. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 70302 (MN). The NPI Number for GRACI MARIE GORMAN (MD) is 1912564865

Main info

Female
Sole Proprietor
Name
GRACI MARIE GORMAN (MD)
NPI
1912564865
Phone
(763) 587-4688
Address
1500 Curve Crest Blvd W
Enumeration Date
28 May 2019
Last Update Date
28 July 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for GRACI MARIE GORMAN (MD)

  • 1500 Curve Crest Blvd W

    Stillwater, MN 550826040

    Phone: (763) 587-4688

    Type: Location

  • 8450 Seasons Pkwy

    Woodbury, MN 551254402

    Phone: (763) 587-4688

    Type: Location

  • 2500 Como Ave

    Saint Paul, MN 551081460

    Phone: (763) 587-4688

    Type: Location

  • 2621 Greenhaven Rd

    Anoka, MN 553035566

    Phone: (763) 587-4688

    Type: Location

  • 15290 Pennock Ln

    Apple Valley, MN 551247163

    Phone: (763) 587-4688

    Type: Location

  • 3930 Northwoods Dr

    Arden Hills, MN 551126963

    Phone: (763) 587-4688

    Type: Location

  • 14701 Victor Hugo Blvd N

    Hugo, MN 550384561

    Phone: (763) 587-4688

    Type: Location

  • 781 SWEET BRIAR LN

    RED WING, MN 550661600

    Phone: (651) 380-5690

    Type: Mailing

  • 535 Hospital Rd

    New Richmond, WI 540171449

    Phone: (715) 243-2600

    Type: Location

  • 927 Churchill St W

    Stillwater, MN 550826605

    Phone: (651) 430-4529

    Type: Location

  • 405 Stageline Rd

    Hudson, WI 540167848

    Phone: (715) 531-6000

    Type: Location

  • 265 Giffin St E

    Amery, WI 54001

    Phone: (715) 268-8000

    Type: Location

  • 15245 Bluebird St NW

    Andover, MN 553043538

    Phone: (763) 587-4688

    Type: Location

  • 205 Wabasha St S

    Saint Paul, MN 551071805

    Phone: (763) 587-4688

    Type: Location

  • Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States

    SAINT PAUL, MN 551012502

    Phone: (651) 254-3456

    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: 2022-08-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220217001639IEmergency MedicineMNTBD
I20220815001327IEmergency MedicineWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making180177$0
99284Emergency department visit with moderate level of medical decision making9997$0
99283Emergency department visit with low level of medical decision making3938$0
99291Critical care, first 30-74 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55082)

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Reviews

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Frequently asked questions

How do I look up GRACI MARIE GORMAN (MD) by NPI?
Use NPI 1912564865 when you need to reference GRACI MARIE GORMAN (MD) in forms, claims, or directories.
Is GRACI MARIE GORMAN (MD) active in the national directory?
GRACI MARIE GORMAN (MD)'s public NPI profile is in an active state.
Can you summarize GRACI MARIE GORMAN (MD)'s specialty in plain language?
Clinically, the directory lists GRACI MARIE GORMAN (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is GRACI MARIE GORMAN (MD)'s primary listing?
We display Stillwater, Minnesota because that is what the record indicates for GRACI MARIE GORMAN (MD).
What if Stillwater, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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