DR. JACOB D GRODSKY MD
NPI 1063972875
Ophthalmology - Retina Specialist in Naperville, IL

Q: What is Jacob Grodsky's NPI number?

The NPI number for Jacob Grodsky is 1063972875. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Q: What is Jacob Grodsky's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Grodsky was last updated on November 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 March 20, 2019PECOS EnrolledAccepts Medicare Assignment

636 RAYMOND DR STE 300, NAPERVILLE, IL 60563(331) 732-4370(331) 732-4375 Get Directions Write a Review

NPPES record last updated: November 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2025, Jun 24, 2023, Mar 20, 2019 (3 updates tracked since 2019).

On this page

About Dr. Jacob D Grodsky Md NPPES

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

DR. JACOB D GRODSKY MD (NPI 1063972875) is an individual retina specialist in Naperville, Illinois, licensed in Illinois (036173027) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063972875

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. JACOB D GRODSKYCredential: MD

Location Address636 RAYMOND DR STE 300Naperville, IL 60563-9792

Mailing Address636 Raymond Dr Ste 300Naperville, IL 60563-9792 · (331) 732-4370 · Fax (331) 732-4375

Phone(331) 732-4370

Fax(331) 732-4375

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 20, 2019

Last NPPES UpdateNovember 2, 20253 updates tracked since enumeration

NPPES CertifiedNovember 2, 2025

✔ NPI 1063972875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in IL · 036173027

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

636 RAYMOND DR STE 300, Naperville, IL 60563

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1308 Randall Rd Ste CGeneva, IL 60134-4201 · Phone (331) 732-4370 · Fax (331) 732-4375

Location 20S036 Church St Ste 200Winfield, IL 60190-1203 · Phone (331) 732-4370 · Fax (331) 732-4375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob D Grodsky Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719211960

PECOS Enrollment IDI20250818002078

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

172 services86 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

144 services80 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

37 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60563 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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.

Other Providers at the Same Location NPPES 11

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

DR. BARBARA J ANDREOLI O.D.

Optometrist