CHARLES J GRODZIN MD
NPI 1215904859
Internal Medicine - Pulmonary Disease in Glasgow, KY

Q: What is Charles Grodzin's NPI number?

The NPI number for Charles Grodzin is 1215904859. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Q: What is Charles Grodzin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Charles Grodzin was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 March 02, 2006PECOS EnrolledAccepts Medicare Assignment

92.26/100

CMS Quality Rating

310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141(270) 659-5835(270) 659-5856 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2026, Jan 5, 2026, Dec 8, 2015 (3 updates tracked since 2015).

On this page

About Charles J Grodzin Md NPPES

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

CHARLES J GRODZIN MD (NPI 1215904859) is an individual pulmonary disease provider in Glasgow, Kentucky, licensed in Kentucky (C4709) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1215904859

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameCHARLES J GRODZINCredential: MD

Location Address310 N L ROGERS WELLS BLVDGlasgow, KY 42141-1300

Mailing Address310 N L Rogers Wells BlvdGlasgow, KY 42141-1300 · (270) 659-5835 · Fax (270) 659-5856

Phone(270) 659-5835

Fax(270) 659-5856

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1990

Enumeration DateMarch 2, 2006

Last NPPES UpdateJanuary 19, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1215904859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in KY · C4709✔ Licensed in WV · 34832✔ Licensed in TX · L0226

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License C4709 (KY), 34832 (WV)

310 N L ROGERS WELLS BLVD, Glasgow, KY 42141

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Secondary Practice Locations 3

Location 13200 MacCorkle Ave SECharleston, WV 25304-1227 · Phone (304) 388-5432

Location 2550 Peachtree St NEAtlanta, GA 30308-2212 · Phone (404) 686-4411

Location 3501 Morris StCharleston, WV 25301-1326 · Phone (304) 388-5432

Other Identifiers 7

Medicaid142057203TX

Medicaid142057204TX

Other290013827TX · Rr Medicare Dento Co

Other290013828TX · Rr Medicare Dallas Co

Medicaid142057201TX

Other8A2490TX · Bcbs

Medicaid142058002TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Charles J Grodzin 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 ID9638116346

PECOS Enrollment IDI20250131003183, I20250813000777, I20251002002969, I20260121003100

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 13

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.

160 services114 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

103 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

76 services69 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

27 services27 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

26 services26 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

26 services26 patients

Test to examine how well the lungs exchange gases 94729

25 services25 patients

Test to determine lung volumes using sensors 94726

23 services23 patients

Test to measure rate of airflow 94375

22 services22 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

18 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

16 services16 patients

Test for exercise-induced lung stress 94618

14 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Western Missouri Medical Center

Acute Care Hospitals · Warrensburg, MO

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260097

Location403 Burkarth RoadWarrensburg, MO 64093 · Johnson County

Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390041

Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County

Emergency services

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

92.26/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

73.83

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers13 claims13 services$15.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers49 claims49 services$65.46 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers16 claims16 services$28.58 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CARLOS ENRIQUE KUMMERFELDT FABIAN M.D.

Internal Medicine (Pulmonary Disease)