DR. DEVAN GRINER (MD) – Plastic Surgery Physician, NPI 1780895755
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. DEVAN GRINER (MD)
11762 S STATE ST STE 110
DRAPER, UT 840207158
Phone: (385) 218-0587
Fax: (385) 381-4447
Type: Mailing
11762 S State St Ste 320
Draper, UT 840207166
Phone: (801) 702-9191
Fax: (877) 326-3388
Type: Location
303, North 300 West, Timp, Provo, Utah County, Utah, 84601, United States
PROVO, UT 846043373
Phone: (801) 702-9191
Fax: (801) 606-2705
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,136.
Total Amount is formed as General ($1,136) + Research ($0) + Ownership ($0) = $1,136.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Integra LifeSciences Corporation ($652).
Total Amount
$1,136
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Integra LifeSciences Corporation | $652 |
| ABBVIE INC. | $165 |
| KLS-Martin L.P. | $142 |
| Mentor Worldwide LLC | $94 |
| DePuy Synthes Sales Inc. | $84 |
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: 2018-09-05
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 |
|---|---|---|---|---|
| I20140623002060 | I | Emergency Medicine | TN | TBD |
| I20180905003894 | I | Plastic And Reconstructive Surgery | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84020)
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Reviews
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