STEVEN GRUNDFAST MD
NPI 1710971049
Internal Medicine - Pulmonary Disease in Middletown, NY

Active since September 01, 2005PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Steven Grundfast Md NPPES

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

STEVEN GRUNDFAST MD (NPI 1710971049) is an individual pulmonary disease provider in Middletown, New York, licensed in New York (210221) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Hahnemann University College Of Medicine (1996).

NPPES Registry Identity

NPI1710971049
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSTEVEN GRUNDFASTCredential: MD
Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028
Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297
Fax(845) 703-6297
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1996
Enumeration DateSeptember 1, 2005
Last NPPES UpdateSeptember 9, 2020
NPPES CertifiedSeptember 9, 2020
NPI 1710971049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 210221
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 210221 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 210221 (NY)
155 CRYSTAL RUN RD, Middletown, NY 10941

Other Identifiers 1

Medicaid02023650NY

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

Steven Grundfast 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 ID1658260021
PECOS Enrollment IDI20040312001180
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 17

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.
797 services441 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.
232 services192 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
158 services158 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
135 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
85 services76 patients
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
Albuterol is a medication used to treat breathing problems. It is administered as an inhalation solution through a device called DME (Durable Medical Equipment). The solution is FDA-approved and non-compounded. Each unit dose contains 1 mg of the medicine.
78 services25 patients

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.71
Promoting Interoperability100
Improvement Activities40
Cost98.42

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers88 claims88 services$36.68 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
6 suppliers15 claims23 services$1.23 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
4 suppliers12 claims12 services$9.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers214 claims215 services$81.27 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers196 claims472 services$30.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers81 claims428 services$16.53 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.

Internal Medicine (Nephrology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Acute Care)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Pulmonary Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Nurse Practitioner (Family)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Endocrinology, Diabetes & Metabolism)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Internal Medicine (Infectious Disease)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Psychiatry & Neurology (Psychiatry)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941
Radiology (Diagnostic Radiology)
155 CRYSTAL RUN RD
MIDDLETOWN, NY 10941

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 Steven Grundfast's NPI number?

The NPI number for Steven Grundfast is 1710971049. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Steven Grundfast located?

Steven Grundfast practices at 155 Crystal Run Rd, Middletown, NY 10941. The listed phone number is (845) 703-6999.

What is Steven Grundfast's specialty?

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

Is Steven Grundfast enrolled in Medicare?

Yes. Steven Grundfast 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 Steven Grundfast affiliated with any hospitals?

According to CMS data, Steven Grundfast is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Steven Grundfast was last updated on September 9, 2020. 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.