IVAN M GRYNYSHIN MD
NPI 1124000369
Anesthesiology in Pottsville, PA

Active since November 15, 2005PECOS EnrolledAccepts Medicare Assignment
420 S JACKSON ST, POTTSVILLE, PA 17901(570) 346-7797 Get Directions Write a Review

NPPES record last updated: April 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivan M Grynyshin Md NPPES

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

IVAN M GRYNYSHIN MD (NPI 1124000369) is an individual anesthesiology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD423998) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2004).

NPPES Registry Identity

NPI1124000369
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameIVAN M GRYNYSHINCredential: MD
Location Address420 S JACKSON STPottsville, PA 17901-3625
Mailing AddressPo Box 390Scranton, PA 18501-0390 · (570) 346-7797 · Fax (570) 342-9802
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2004
Enumeration DateNovember 15, 2005
Last NPPES UpdateApril 20, 2009
NPI 1124000369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in PA · MD423998
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
420 S JACKSON ST, Pottsville, PA 17901

Other Identifiers 7

OtherP00159374PA · Rr Medicare
OtherP00199596PA · Rr Medicare
Medicare PIN082828F4APA
Medicare PIN082828R4RPA
Medicare PIN082828XEBPA
Medicare UPINI15752
Medicaid1010799200001PA

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

Ivan M Grynyshin 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 ID9830166016
PECOS Enrollment IDI20040916000259
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 4

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
77 services77 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
41 services40 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
30 services30 patients
Anesthesia for other procedure on neck area (1 year or older) 00320
Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.
15 services15 patients

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

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
56%366 patients2/55-star benchmark: 100%
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.

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.

Radiology (Diagnostic Radiology)
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Radiology (Diagnostic Radiology)
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Nurse Anesthetist, Certified Registered
420 S JACKSON ST
POTTSVILLE, PA 17901
Anesthesiology
420 S JACKSON ST
POTTSVILLE, PA 17901
Psychiatry & Neurology (Geriatric Psychiatry)
420 S JACKSON ST
POTTSVILLE, PA 17901
Nurse Anesthetist, Certified Registered
420 S JACKSON ST
POTTSVILLE, PA 17901

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 Ivan Grynyshin's NPI number?

The NPI number for Ivan Grynyshin is 1124000369. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Ivan Grynyshin located?

Ivan Grynyshin practices at 420 S Jackson St, Pottsville, PA 17901. The listed phone number is (570) 346-7797.

What is Ivan Grynyshin's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Ivan Grynyshin enrolled in Medicare?

Yes. Ivan Grynyshin 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.

When was this NPI record last updated?

The NPPES record for Ivan Grynyshin was last updated on April 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.