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GRIGORIY A ROZENFELD DO
NPI 1114167293
Emergency Medicine in Lacey, WA

Active since March 02, 2009PECOS EnrolledAccepts Medicare Assignment
4800 COLLEGE ST SE, LACEY, WA 98503(360) 486-2900(360) 486-2901 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 30, 2021, Oct 14, 2021, Aug 18, 2016 (3 updates tracked since 2016).

About Grigoriy A Rozenfeld Do NPPES

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

GRIGORIY A ROZENFELD DO (NPI 1114167293) is an individual emergency medicine provider in Lacey, Washington, licensed in Washington (OP61084938) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2008).

NPPES Registry Identity

NPI1114167293
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGRIGORIY A ROZENFELDCredential: DO
Location Address4800 COLLEGE ST SELacey, WA 98503-4389
Mailing Address4800 College St SeLacey, WA 98503-4389 · (360) 486-2900 · Fax (360) 486-2901
Phone(360) 486-2900
Fax(360) 486-2901
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2008
Enumeration DateMarch 2, 2009
Last NPPES UpdateNovember 30, 20213 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
✔ NPI 1114167293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WA · OP61084938✔ Licensed in CA · 20A11107
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4800 COLLEGE ST SE, Lacey, WA 98503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grigoriy A Rozenfeld Do 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 ID8729300553
PECOS Enrollment IDI20211019002378
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Grigoriy Rozenfeld reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
3.6 mi
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Cep America-California
368 mi
Emergency Medicine
800 E WASHINGTON BLVD
Crescent City, CA 95531
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1366124364 (707) 464-8511
Southern California Permanente Medical Group
886 mi
Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1982863783 (661) 726-2279
Temecula Valley Emergency Medical Associates
970 mi
Specialist
28062 BAXTER RD
Murrieta, CA 92563
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1407845092 (951) 290-4108

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.
153 services152 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.
71 services71 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
50 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
49 services47 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
35 services35 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98503 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 20

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

JUMAN PARK DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
DR. ABRAHAM WUSEOK JEON DO
Family Medicine
4800 COLLEGE ST SE, PMG SW WA LACEY FAM MED
LACEY, WA 98503
Thurston County (360) 486-2900
KAREN LEE NEWMAN
Counselor
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-5722
IAN SERRATO
Nurse Practitioner (Family)
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-4500
MICHAELA JANE DE GROOT PT, DPT
Physical Therapist
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
CARA ELIZABETH BARDWELL PA-C
Physician Assistant
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
STEPHANIE MARY DEMPSEY RN
Registered Nurse
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 486-2900
PROVIDENCE HEALTH & SERVICES WASHINGTON
Clinic/Center
4800 COLLEGE ST SE
LACEY, WA 98503
Thurston County (360) 493-7567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grigoriy Rozenfeld's NPI number?

The NPI number for Grigoriy Rozenfeld is 1114167293. It was assigned to this individual provider in the NPPES registry on March 2, 2009.

Where is Grigoriy Rozenfeld located?

Grigoriy Rozenfeld practices at 4800 College St SE, Lacey, WA 98503. The listed phone number is (360) 486-2900.

What is Grigoriy Rozenfeld's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Grigoriy Rozenfeld enrolled in Medicare?

Yes. Grigoriy Rozenfeld is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Grigoriy Rozenfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grigoriy Rozenfeld reassigns Medicare benefits to 4 organizations: Providence Health & Services Washington (Olympia, WA), Cep America-California (Crescent City, CA), Southern California Permanente Medical Group (Lancaster, CA) and Temecula Valley Emergency Medical Associates (Murrieta, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grigoriy Rozenfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grigoriy Rozenfeld accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Grigoriy Rozenfeld as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Grigoriy Rozenfeld affiliated with any hospitals?

According to CMS data, Grigoriy Rozenfeld is affiliated with Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Grigoriy Rozenfeld was last updated on November 30, 2021. 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.