NELSON ROSS GRUSZCZYNSKI MD
NPI 1639798762
Otolaryngology in Pembroke Pines, FL
NPI Status: Active since April 09, 2020
Contact Information
18501 PINES BLVD STE 210
PEMBROKE PINES, FL
ZIP 33029
Phone: (954) 237-2505
Fax: (434) 924-1736
- Individual
- Male
- Years of Experience 6
- Otolaryngology
- May Accept Medicare Approved Payment
- PECOS Enrolled
About NELSON GRUSZCZYNSKI
This page provides the complete NPI Profile along with additional information for Nelson Gruszczynski, a provider established in Pembroke Pines, Florida with a medical specialization in Otolaryngology and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1639798762 assigned on April 2020. The practitioner's primary taxonomy code is 207Y00000X with license number ME172328 (FL). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1639798762
- Provider Name
- NELSON ROSS GRUSZCZYNSKI MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 18501 PINES BLVD STE 210 PEMBROKE PINES, FL 33029
- Location Phone
- (954) 237-2505
- Location Fax
- (434) 924-1736
- Mailing Address
- 15280 NW 79TH CT STE 200 MIAMI LAKES, FL 33016
- Mailing Phone
- (305) 558-3724
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-09-2020
- Last Update Date
- 07-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology
- Taxonomy Code
- 207Y00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- ME172328
- License State
- FL
- Taxonomy Description
- An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Nelson Gruszczynski is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Nelson Gruszczynski is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648695866
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20250508003294
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 33029 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $135.56
- Minimum New Patient Price $58.56
- Maximum New Patient Price $179.05
- Average New Patient Copayment $33.89
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $73
- Minimum Established Patient Price $18.44
- Maximum Established Patient Price $144.68
- Average Established Patient Copayment $18.25
- Minimum Established Patient Copayment $4.61
- Maximum Established Patient Copayment $36.17
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 7 | 9 | 8 | 7 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 14 | 9 | 16 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 4 + 9 + 1 + 6 + 7 + 1 + 2 + 24 = 78 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 78 = 2 | 2 | ||||||||
The NPI number 1639798762 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DR. SHERRY LEIGH LEVINE MD
Otolaryngology
18501 PINES BLVD STE 210
PEMBROKE PINES, FL
ZIP 33029
FLORIDA ENT ASSOCIATES, INC.
Otolaryngology
18501 PINES BLVD STE 210
PEMBROKE PINES, FL
ZIP 33029
MARCOS JOSE CABOVERDE PA-C
Physician Assistant
18501 PINES BLVD STE 210
PEMBROKE PINES, FL
ZIP 33029
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639798762, enumerated as an "individual" on April 09, 2020.
The provider is located at 18501 PINES BLVD STE 210 PEMBROKE PINES, FL 33029 and the phone number is (954) 237-2505.
Otolaryngology with taxonomy code 207Y00000X.
