DOUGLAS CHESTER GRUZD (MD) – Emergency Medicine Physician, NPI 1043246069
Emergency Medicine Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DOUGLAS CHESTER GRUZD (MD)
505, South 336th Street, Federal Way, King County, Washington, 98003, United States
SUITE 600
FEDERAL WAY, WA 980036328
Phone: (253) 838-6180
Fax: (253) 838-6418
Type: Mailing
Northeast Elm Street, Prineville, Crook County, Oregon, 97754, United States
PRINEVILLE, OR 97754
Phone: (541) 447-6254
Fax: (541) 447-2511
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $14,266.
Total Amount is formed as General ($14,266) + Research ($0) + Ownership ($0) = $14,266.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: USWM, LLC ($14,138).
Total Amount
$14,266
General + Research + Ownership
Payments
4
Total payment records
General Amount
$14,266
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| USWM, LLC | $14,138 |
| Alkermes, Inc. | $109 |
| Otsuka America Pharmaceutical, Inc. | $18 |
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: 2004-02-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040203000665 | I | Emergency Medicine | OR | 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 98003)
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