ANDREW ROBERT GRUDZINSKI MD
NPI 1285602151
Urology in Las Vegas, NV

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
86.89/100
CMS Quality Rating
7500 SMOKE RANCH RD STE 200, LAS VEGAS, NV 89128(702) 233-0727(702) 233-4799 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2021, Dec 29, 2016 (2 updates tracked since 2016).

About Andrew Robert Grudzinski Md NPPES

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

ANDREW ROBERT GRUDZINSKI MD (NPI 1285602151) is an individual urology provider in Las Vegas, Nevada, licensed in Nevada (20748) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Henderson Hospital, and is a graduate of Chicago College Of Medicine And Surgery (1995).

NPPES Registry Identity

NPI1285602151
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameANDREW ROBERT GRUDZINSKICredential: MD
Location Address7500 SMOKE RANCH RD STE 200Las Vegas, NV 89128-0373
Mailing Address7150 W Sunset Rd Ste 201aLas Vegas, NV 89113-1981 · (702) 902-1939 · Fax (702) 442-1886
Fax(702) 233-4799
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 1995
Enumeration DateMarch 8, 2006
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
NPI 1285602151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NV · 20748 Licensed in SC · 21055
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
7500 SMOKE RANCH RD STE 200, Las Vegas, NV 89128

Other Identifiers 12

Other000000206911SC · Unison Health Plan
MedicaidT50860SC
MedicaidGP4522SC
Medicaid5907458NC
Other80023030SC · Select Health
Other2280313NC · Cigna Medicare
Other771828SC · Wellcare
Other790598LNC · Eds
Other8522204SC · Cigna
Other5580793SC · Aetna
MedicaidGP1521SC
OtherP00360558SC · Railroad Medicare

Accepted 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

Andrew Robert Grudzinski 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 ID5092711887
PECOS Enrollment IDI20210209002708
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 19

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.

Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
329 services204 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
316 services242 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
267 services222 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.
153 services139 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
94 services73 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.
85 services79 patients

Hospital Affiliations CMS Care Compare 2

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

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · Clark County
Emergency services Birthing friendly

Boulder City Hospital

Critical Access Hospitals · Boulder City, NV
OwnershipVoluntary non-profit - Private
CMS Certification Number291309
Location901 Adams BlvdBoulder City, NV 89005 · Clark County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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.

86.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.82
Improvement Activities40
Cost60.29

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%1,794 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
59%6,500 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%3,159 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
1%732 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
58%6,378 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%3,353 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
65%1,794 patients3/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
70%2,886 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
37%3,353 patients2/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
44%448 patients2/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
69%198 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers14 claims4,440 services$1.70 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 9

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

Nurse Practitioner (Adult Health)
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Physician Assistant
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Nurse Practitioner (Family)
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Nurse Practitioner (Family)
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Physician Assistant (Medical)
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Nurse Practitioner (Family)
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128
Physician Assistant
7500 SMOKE RANCH RD STE 200
LAS VEGAS, NV 89128

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 Andrew Grudzinski's NPI number?

The NPI number for Andrew Grudzinski is 1285602151. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Andrew Grudzinski located?

Andrew Grudzinski practices at 7500 Smoke Ranch Rd Ste 200, Las Vegas, NV 89128. The listed phone number is (702) 233-0727.

What is Andrew Grudzinski's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Andrew Grudzinski enrolled in Medicare?

Yes. Andrew Grudzinski 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.

What insurance does Andrew Grudzinski accept?

Health plans from Ambetter from Arizona Complete Health list Andrew Grudzinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Andrew Grudzinski affiliated with any hospitals?

According to CMS data, Andrew Grudzinski is affiliated with Henderson Hospital and Boulder City Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Grudzinski was last updated on February 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.