DR. LEO A GRAFSTEIN M.D.
NPI 1093707895
Urology in Plattsburgh, NY

Q: What is Leo Grafstein's NPI number?

The NPI number for Leo Grafstein is 1093707895. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Leo Grafstein's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Leo Grafstein was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 August 17, 2005PECOS EnrolledAccepts Medicare Assignment

95.38/100

CMS Quality Rating

15 DEGRANDPRE WAY, PLATTSBURGH, NY 12901(518) 561-3900(518) 561-7843 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Leo A Grafstein M.d. NPPES

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

DR. LEO A GRAFSTEIN M.D. (NPI 1093707895) is an individual urology provider in Plattsburgh, New York, licensed in New York (214007) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1993).

NPPES Registry Identity

NPI1093707895

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. LEO A GRAFSTEINCredential: M.D.

Location Address15 DEGRANDPRE WAYPlattsburgh, NY 12901-6449

Mailing Address36 Colligan Pt RdPlattsburgh, NY 12901-7112 · (518) 562-0787 · Fax (518) 561-7843

Phone(518) 561-3900

Fax(518) 561-7843

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1993

Enumeration DateAugust 17, 2005

Last NPPES UpdateJune 17, 2010

✔ NPI 1093707895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in NY · 214007

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

15 DEGRANDPRE WAY, Plattsburgh, NY 12901

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Other Identifiers 3

Medicare ID-Type UnspecifiedBB6329NY

Medicare UPINF85682NY

Medicaid02090944NY

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. Leo A Grafstein M.d. 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 ID5092899211

PECOS Enrollment IDI20100824000923

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 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

362 services230 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

69 services69 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

58 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

57 services46 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330197

Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County

Emergency services Birthing friendly

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330250

Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County

Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331315

Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County

Emergency services

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331321

Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County

Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331322

Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

95.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.26

Promoting Interoperability

99.17

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

3 suppliers26 claims3,240 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

6 suppliers45 claims5,460 services$1.35 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers27 claims3,480 services$6.14 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

2 suppliers11 claims40 services$7.36 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

2 suppliers13 claims46 services$4.48 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier11 claims88 services$1.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

MISS ANNA REBECCA SANBORN COFFIN

Physician Assistant