DR. MICHAEL SAMUEL GROSSMAN M.D.
NPI 1215016662
Ophthalmology in Peoria, IL

Q: What is Michael Grossman's NPI number?

The NPI number for Michael Grossman is 1215016662. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Michael Grossman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Grossman was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 November 06, 2006PECOS Enrolled

4505 N ROCKWOOD DR, PEORIA, IL 61615(309) 589-1880 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 6, 2023, Jan 4, 2017 (2 updates tracked since 2017).

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About Dr. Michael Samuel Grossman M.d. NPPES

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

DR. MICHAEL SAMUEL GROSSMAN M.D. (NPI 1215016662) is an individual ophthalmology provider in Peoria, Illinois, licensed in Illinois (036128242) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215016662

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MICHAEL SAMUEL GROSSMANCredential: M.D.

Location Address4505 N ROCKWOOD DRPeoria, IL 61615-3803

Mailing Address3602 Marquette RdPeru, IL 61354-1450 · (815) 223-7400

Phone(309) 589-1880

Sole ProprietorYes

Enumeration DateNovember 6, 2006

Last NPPES UpdateJune 6, 20232 updates tracked since enumeration

NPPES CertifiedJune 6, 2023

✔ NPI 1215016662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in IL · 036128242✔ Licensed in LA · 202629

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.

Also ListedSurgeryTaxonomy 208600000X · License 29207 (SC)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 036128242 (IL)

4505 N ROCKWOOD DR, Peoria, IL 61615

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Samuel Grossman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES

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

SRINIVAS JUJJAVARAPU MD LLC

Internal Medicine (Hematology & Oncology)

4505 N ROCKWOOD DR
PEORIA, IL 61615

Peoria County (630) 799-9399

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 Grossman's NPI number?

The NPI number for Michael Grossman is 1215016662. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Michael Grossman located?

Michael Grossman practices at 4505 N Rockwood Dr, Peoria, IL 61615. The listed phone number is (309) 589-1880.

What is Michael Grossman's specialty?

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

Is Michael Grossman enrolled in Medicare?

Yes. Michael Grossman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Grossman was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.