BRIAN E GRANVALL PA-C
NPI 1205809852
Radiology - Diagnostic Radiology in Boise, ID

Q: What is Brian Granvall's NPI number?

The NPI number for Brian Granvall is 1205809852. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Q: What is Brian Granvall's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Brian Granvall was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 13, 2006PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2094(208) 381-1791 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2022, Jan 10, 2018 (2 updates tracked since 2018).

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About Brian E Granvall Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN E GRANVALL PA-C (NPI 1205809852) is an individual diagnostic radiology provider in Boise, Idaho, licensed in Idaho (PA-1042) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205809852

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameBRIAN E GRANVALLCredential: PA-C

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing AddressPo Box 1108Corvallis, OR 97339-1108 · (208) 381-2094 · Fax (208) 381-1791

Phone(208) 381-2094

Fax(208) 381-1791

Sole ProprietorNo

Enumeration DateFebruary 13, 2006

Last NPPES UpdateJanuary 31, 20222 updates tracked since enumeration

✔ NPI 1205809852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in ID · PA-1042

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedPhysician AssistantTaxonomy 363A00000X · License 0110002940 (VA), PA10004399 (WA), PA 00846 (OR)

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License C04233 (MD)

190 E BANNOCK ST, Boise, ID 83712

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Other Identifiers 1

Medicaid8326142WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian E Granvall Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections

Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…

100%28 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)