JOHN PATRICK GRUNDY III M.D.
NPI 1194775932
Ophthalmology in Laurel, MD

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
75.57/100
CMS Quality Rating
615 MAIN ST, LAUREL, MD 20707(301) 725-3010(301) 725-3271 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Patrick Grundy Iii M.d. NPPES

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

JOHN PATRICK GRUNDY III M.D. (NPI 1194775932) is an individual ophthalmology provider in Laurel, Maryland, licensed in Maryland (D0052388) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1993).

NPPES Registry Identity

NPI1194775932
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOHN PATRICK GRUNDY IIICredential: M.D.
Location Address615 MAIN STLaurel, MD 20707-4065
Mailing Address615 Main StLaurel, MD 20707-4065 · (301) 725-3010 · Fax (301) 725-3271
Fax(301) 725-3271
Sole ProprietorYes
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1993
Enumeration DateMay 11, 2006
Last NPPES UpdateMarch 24, 2015
NPI 1194775932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D0052388
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.

615 MAIN ST, Laurel, MD 20707

Other Identifiers 5

Medicare PIN000C02E53DC
Medicaid407806300MD
Medicare ID-Type Unspecified000C02E53
Other91930002DC · Carefirst Dc
Medicare UPING69406

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

John Patrick Grundy Iii 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 ID6305880154
PECOS Enrollment IDI20061005000249, I20101130000483
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 15

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 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.
1,397 services1,023 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
810 services672 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.
363 services295 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.
253 services253 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
231 services231 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
231 services197 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20707 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

75.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost18.58

Reported Quality Measures

Diabetes: Eye Exam
100%632 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%1,464 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
89%71 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%119 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 866 patients
Patients screened: 100% · 866 patients
99%75 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%436 patients
Tobacco Use and Help with Quitting Among Adolescents
100%66 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,552 patients
Patients totalRate: 0% · 1,552 patients
0%1,552 patients5/55-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 4

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

Ophthalmology
615 MAIN ST
LAUREL, MD 20707
Technician/Technologist (Optician)
615 MAIN ST
LAUREL, MD 20707
Eyewear Supplier
615 MAIN ST
LAUREL, MD 20707
Specialist
615 MAIN ST
LAUREL, MD 20707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194775932, enumerated as an "individual" on May 11, 2006.

The provider is located at 615 MAIN ST LAUREL, MD 20707 and the phone number is (301) 725-3010.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.