MARK THOMAS GRUNERT PA-C
NPI 1639702772
Physician Assistant in Albany, NY

Active since February 18, 2020PECOS EnrolledAccepts Medicare Assignment
319 S MANNING BLVD, ALBANY, NY 12208(518) 438-1019 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 7, 2023, Mar 2, 2023, Oct 5, 2021 and 3 more (6 updates tracked since 2020).

About Mark Thomas Grunert Pa-c NPPES

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

MARK THOMAS GRUNERT PA-C (NPI 1639702772) is an individual physician assistant in Albany, New York, licensed in New York (024873) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1639702772
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK THOMAS GRUNERTCredential: PA-C
Location Address319 S MANNING BLVDAlbany, NY 12208-1742
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2020
Enumeration DateFebruary 18, 2020
Last NPPES UpdateMarch 7, 20236 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1639702772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 024873
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
319 S MANNING BLVD, Albany, NY 12208

Secondary Practice Locations 4

Location 14 Executive Park Dr Ste 2Albany, NY 12203-3717 · Phone (518) 489-7494
Location 22 Empire Dr Ste 100Rensselaer, NY 12144-5730 · Phone (518) 286-4899 · Fax (518) 286-4859
Location 3315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-8600
Location 41205 Troy Schenectady Rd Ste 101Latham, NY 12110-1074 · Phone (518) 348-3176

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

Mark Thomas Grunert Pa-c 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 ID9931538717
PECOS Enrollment IDI20200330002119
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.

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Pediatrics (Pediatric Cardiology)
319 S MANNING BLVD, SUITE 203
ALBANY, NY 12208
Dietitian, Registered
319 S MANNING BLVD
ALBANY, NY 12208
Specialist
319 S MANNING BLVD, SUITE 110
ALBANY, NY 12208
Obstetrics & Gynecology
319 S MANNING BLVD, SUITE 306
ALBANY, NY 12208
Surgery
319 S MANNING BLVD, SUITE 310
ALBANY, NY 12208
Specialist
319 S MANNING BLVD, SUITE 105
ALBANY, NY 12208
Surgery (Surgical Oncology)
319 S MANNING BLVD, SUITE 210
ALBANY, NY 12208
Nurse Practitioner (Obstetrics & Gynecology)
319 S MANNING BLVD
ALBANY, NY 12208

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 Mark Grunert's NPI number?

The NPI number for Mark Grunert is 1639702772. It was assigned to this individual provider in the NPPES registry on February 18, 2020.

Where is Mark Grunert located?

Mark Grunert practices at 319 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 438-1019.

What is Mark Grunert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Grunert enrolled in Medicare?

Yes. Mark Grunert 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.

Is Mark Grunert affiliated with any hospitals?

According to CMS data, Mark Grunert is affiliated with Albany Medical Center Hospital.

When was this NPI record last updated?

The NPPES record for Mark Grunert was last updated on March 7, 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.