MICHAEL H GRODIN D.O.
NPI 1184670366
Ophthalmology in Lutherville, MD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
1209 YORK RD, SUITE 200, LUTHERVILLE, MD 21093(410) 821-9490(410) 821-9495 Get Directions Write a Review

NPPES record last updated: April 11, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael H Grodin D.o. NPPES

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

MICHAEL H GRODIN D.O. (NPI 1184670366) is an individual ophthalmology provider in Lutherville, Maryland, licensed in Maryland (H0062012) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1184670366
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL H GRODINCredential: D.O.
Location Address1209 YORK RD, SUITE 200Lutherville, MD 21093-6220
Mailing Address1209 York Rd, Suite 200Lutherville, MD 21093-6220 · (410) 821-9490 · Fax (410) 821-9495
Fax(410) 821-9495
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 11, 2012
NPI 1184670366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MD · H0062012 Licensed in VA · 0102201638 Licensed in DC · DO034176 Licensed in NJ · 25MB08472300
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1209 YORK RD, Lutherville, MD 21093

Other Identifiers 6

Medicare UPINH70839
Medicare ID-Type Unspecified014761G51
Medicaid405458000MD
Other143192VYZMD · Medicare
Medicare ID-Type Unspecified005295G26
Medicare ID-Type Unspecified863LJ144

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

Michael H Grodin D.o. 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 ID1355334780
PECOS Enrollment IDI20040820000476
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 16

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
6,783 services16 patients
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.
3,699 services1,729 patients
Exam of retinal blood vessels using a special camera after injection of a dye 92235
This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.
2,370 services985 patients
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.
2,235 services1,511 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,392 services141 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.
1,350 services521 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.89
Promoting Interoperability85
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Optometrist (Pediatrics)
1209 YORK RD, SUITE 200
LUTHERVILLE, MD 21093
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
1209 YORK RD
LUTHERVILLE, MD 21093
Optometrist
1209 YORK RD, SUITE 200
LUTHERVILLE, MD 21093
Optometrist
1209 YORK RD, SUITE 200
LUTHERVILLE, MD 21093
Optometrist (Low Vision Rehabilitation)
1209 YORK RD, SUITE 200
LUTHERVILLE TIMONIUM, MD 21093
Specialist
1209 YORK RD, SUITE 200
LUTHERVILLE, MD 21093
Optometrist
1209 YORK RD, SUITE 200
LUTHERVILLE, MD 21093
Ophthalmology
1209 YORK RD, SUITE 200
LUTHERVILLE, MD 21093

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 Michael Grodin's NPI number?

The NPI number for Michael Grodin is 1184670366. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Michael Grodin located?

Michael Grodin practices at 1209 York Rd Suite 200, Lutherville, MD 21093. The listed phone number is (410) 821-9490.

What is Michael Grodin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Grodin enrolled in Medicare?

Yes. Michael Grodin 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 Michael Grodin was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.