MICHAEL GROBELNY D.O.
NPI 1790080422
Internal Medicine in Lakewood Ranch, FL

Active since January 11, 2011PECOS EnrolledAccepts Medicare Assignment
8330 LAKEWOOD RANCH BLVD, LAKEWOOD RANCH, FL 34202(941) 782-2100 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Grobelny D.o. NPPES

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

MICHAEL GROBELNY D.O. (NPI 1790080422) is an individual internal medicine provider in Lakewood Ranch, Florida, licensed in Florida (UO2511) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1790080422
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMICHAEL GROBELNYCredential: D.O.
Location Address8330 LAKEWOOD RANCH BLVDLakewood Ranch, FL 34202-5174
Mailing Address400 Health Park Blvd Ste 300St Augustine, FL 32086-5784
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 11, 2011
Last NPPES UpdateOctober 25, 2019
NPI 1790080422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · UO2511
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8330 LAKEWOOD RANCH BLVD, Lakewood Ranch, FL 34202

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

Michael Grobelny D.o. 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 ID9335389089
PECOS Enrollment IDI20130701000689
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
661 services285 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
206 services194 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.
131 services74 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.
113 services111 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34202 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%292 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$13.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers22 claims22 services$65.62 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.

Radiology (Diagnostic Radiology)
8330 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Nurse Practitioner
8330 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Hospitalist
8330 LAKEWOOD RANCH BLVD, SUITE 320
BRADENTON, FL 34202
Pharmacist
8330 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Internal Medicine
8330 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Radiology (Body Imaging)
8330 LAKEWOOD RANCH BLVD
BRADENTON, FL 34202
Hospitalist
8330 LAKEWOOD RANCH BLVD
LAKEWOOD RANCH, FL 34202
Emergency Medicine
8330 LAKEWOOD RANCH BLVD
BRADENTON, FL 34202

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 Michael Grobelny's NPI number?

The NPI number for Michael Grobelny is 1790080422. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Michael Grobelny located?

Michael Grobelny practices at 8330 Lakewood Ranch Blvd, Lakewood Ranch, FL 34202. The listed phone number is (941) 782-2100.

What is Michael Grobelny's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Grobelny enrolled in Medicare?

Yes. Michael Grobelny 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 Michael Grobelny affiliated with any hospitals?

According to CMS data, Michael Grobelny is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Michael Grobelny was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.