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DR. JERZY GRZEBIELUCH MD
NPI 1740397025
Psychiatry & Neurology - Psychiatry in Fort Walton Beach, FL

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment
4 2ND ST SE, FORT WALTON BEACH, FL 32548(850) 864-2008(850) 864-5008 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerzy Grzebieluch Md NPPES

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

DR. JERZY GRZEBIELUCH MD (NPI 1740397025) is an individual psychiatry provider in Fort Walton Beach, Florida, licensed in Florida (ME82784) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1740397025
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JERZY GRZEBIELUCHCredential: MD
Location Address4 2ND ST SEFort Walton Beach, FL 32548-5502
Mailing Address4 2nd St SeFort Walton Beach, FL 32548-5502 · (850) 864-2008 · Fax (850) 864-5008
Phone(850) 864-2008
Fax(850) 864-5008
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 24, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1740397025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME82784
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License ME82784 (FL)
4 2ND ST SE, Fort Walton Beach, FL 32548
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Other Identifiers 3

Other53114FL · Speciality License
Other13115FL · Bcbs Of Florida
OtherME 82784FL · Florida License

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

Dr. Jerzy Grzebieluch 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 ID3779573662
PECOS Enrollment IDI20040513000707
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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
341 services73 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.
341 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32548 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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

JERZY GRZEBIELUCH, MD, LLC
Clinic/Center
4 2ND ST SE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 864-2008

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 Jerzy Grzebieluch's NPI number?

The NPI number for Jerzy Grzebieluch is 1740397025. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Jerzy Grzebieluch located?

Jerzy Grzebieluch practices at 4 2nd St SE, Fort Walton Beach, FL 32548. The listed phone number is (850) 864-2008.

What is Jerzy Grzebieluch's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jerzy Grzebieluch enrolled in Medicare?

Yes. Jerzy Grzebieluch 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.

When was this NPI record last updated?

The NPPES record for Jerzy Grzebieluch 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.