JOAN M. GRZYBOWSKI DO
NPI 1285675256
Family Medicine in Philadelphia, PA

Q: What is Joan Grzybowski's NPI number?

The NPI number for Joan Grzybowski is 1285675256. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Joan Grzybowski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Grzybowski was last updated on August 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 09, 2006PECOS EnrolledAccepts Medicare Assignment

76.08/100

CMS Quality Rating

4190 CITY AVE, PHILADELPHIA, PA 19131(215) 871-6380(215) 871-6381 Get Directions Write a Review

NPPES record last updated: August 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2019, Feb 23, 2016, Jan 26, 2016 (3 updates tracked since 2016).

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About Joan M. Grzybowski Do NPPES

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

JOAN M. GRZYBOWSKI DO (NPI 1285675256) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS006483L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Roxborough Memorial Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1285675256

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJOAN M. GRZYBOWSKICredential: DO

Location Address4190 CITY AVEPhiladelphia, PA 19131-1626

Mailing AddressPo Box 824112Philadelphia, PA 19182-2547 · (215) 871-6380 · Fax (215) 871-6381

Phone(215) 871-6380

Fax(215) 871-6381

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1987

Enumeration DateJune 9, 2006

Last NPPES UpdateAugust 6, 20193 updates tracked since enumeration

✔ NPI 1285675256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS006483L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedGeneral PracticeTaxonomy 208D00000X · License OS006483L (PA)

4190 CITY AVE, Philadelphia, PA 19131

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Other Identifiers 18

Other16523-OS006483LPA · Health Partners

Other249621PA · Phcs

OtherP00176615/DC5012PA · Rrm

Other009163PA · Highmark Blue Shield

Other009163GFHPA · Hgsa

Other080142306/CC4910PA · Rrm

Medicaid0012242500001PA

Other0191601000PA · Ibc - Pc/khpe

Other4837399PA · Cigna Hmo/ppo

Other0191601000PA · Amerihealth/intercounty

Other1105398PA · Keystone Mercy

Other17713-OS006483LPA · Health Partners

Other2260420PA · Aetna Hmo

Other10928051PA · Caqh Id#

Other4279361PA · Aetna Ppo

Other0000437PA · Aetna Hmo

Other0122425001PA · Americhoice (uhc Ma Plan)

Other1027872PA · Keystone Mercy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Joan M. Grzybowski Do 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 ID4284676479

PECOS Enrollment IDI20050527000196

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 3

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.

58 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

49 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Roxborough Memorial Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number390304

Location5800 Ridge AvePhiladelphia, PA 19128 · Philadelphia County

Emergency services

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390329

Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19131 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

76.08/100

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

Scored as part of a group practice

Quality

57.4

Promoting Interoperability

Improvement Activities

Cost

68.85

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.

ZEEL HEMANTBHAI PATEL M.B.B.S

Student in an Organized Health Care Education/Training Program