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HAROLD GRAFSTEIN MD
NPI 1801842026
Obstetrics & Gynecology in Mineola, NY

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
120 MINEOLA BLVD, 100, MINEOLA, NY 11501(516) 663-3010(516) 663-3026 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 25, 2021, Feb 13, 2017 (2 updates tracked since 2017).

About Harold Grafstein Md NPPES

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

HAROLD GRAFSTEIN MD (NPI 1801842026) is an individual obstetrics & gynecology provider in Mineola, New York, licensed in New York (193337) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1801842026
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameHAROLD GRAFSTEINCredential: MD
Location Address120 MINEOLA BLVD, 100Mineola, NY 11501-4064
Mailing Address700 Hicksville Rd, 204Bethpage, NY 11714-3471 · (516) 576-6106 · Fax (516) 576-5801
Phone(516) 663-3010
Fax(516) 663-3026
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
✔ NPI 1801842026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 193337
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
120 MINEOLA BLVD, Mineola, NY 11501
Open in Google Maps ↗

Other Identifiers 1

Medicaid01477958NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Harold Grafstein 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 ID7719166164
PECOS Enrollment IDI20110201000225
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.

Medicare Billing Reassignment

Medicare enrollment records show Harold Grafstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.
23 services19 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

MS. MARINA PAVLOVIC NP-C
Nurse Practitioner (Family)
120 MINEOLA BLVD
MINEOLA, NY 11501
Nassau County (516) 663-3000
JOSEPH CIOFFI
Obstetrics & Gynecology
120 MINEOLA BLVD, SUITE 100
MINEOLA, NY 11501
Nassau County (516) 663-3010
DR. JOSEPH PATRICK MAZZIE D.O.
Radiology (Diagnostic Radiology)
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-4510
PENNY EISENBERG LMSW
Social Worker
120 MINEOLA BLVD, SUITE 100
MINEOLA, NY 11501
Nassau County (516) 663-3010
WINTHROP FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORPOR
Thoracic Surgery (Cardiothoracic Vascular Surgery)
120 MINEOLA BLVD, SUITE 300
MINEOLA, NY 11501
Nassau County (516) 663-4400
DR. WENDY BALOPOLE M.D.
Internal Medicine (Medical Oncology)
120 MINEOLA BLVD, SUITE 430
MINEOLA, NY 11501
Nassau County (516) 742-5353
ANCA-OANA KRANZ MD
Radiology (Diagnostic Radiology)
120 MINEOLA BLVD, SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
Nassau County (516) 663-4510
DR. HYE IN PARK M.D.
Obstetrics & Gynecology
120 MINEOLA BLVD
MINEOLA, NY 11501
Nassau County (646) 457-8851

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 Harold Grafstein's NPI number?

The NPI number for Harold Grafstein is 1801842026. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Harold Grafstein located?

Harold Grafstein practices at 120 Mineola Blvd 100, Mineola, NY 11501. The listed phone number is (516) 663-3010.

What is Harold Grafstein's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Harold Grafstein enrolled in Medicare?

Yes. Harold Grafstein 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.

Which organization bills Medicare for Harold Grafstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harold Grafstein reassigns Medicare benefits to New York University (Boynton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Harold Grafstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Harold Grafstein was last updated on February 25, 2021. 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.