GRANT NYBAKKEN, M.D.

Clinical Pathology/Laboratory Medicine Physician · SOUTH SAN FRANCISCO, CA

Individual Active NPI 1104088400

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	17	44	$9,675	$1,540	$1,230

Taxonomy & licensure

Specialty	Code	Primary	License	State
Clinical Pathology/Laboratory Medicine Physician	207ZP0105X	✓	MT193042	PA

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.