NEIL H GRAFSTEIN MD
NPI 1891800033
Urology in Durham, NC

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
4101 N ROXBORO ST, DURHAM, NC 27704(919) 684-8111 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neil H Grafstein Md NPPES

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

NEIL H GRAFSTEIN MD (NPI 1891800033) is an individual urology provider in Durham, North Carolina and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of State University Of New York Downstate Medical Center (2000).

NPPES Registry Identity

NPI1891800033
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameNEIL H GRAFSTEINCredential: MD
Location Address4101 N ROXBORO STDurham, NC 27704-2121
Mailing Address4101 N Roxboro StDurham, NC 27704-2121 · (919) 684-8111
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2000
Enumeration DateAugust 20, 2006
Last NPPES UpdateOctober 9, 2007
NPI 1891800033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4101 N ROXBORO ST, Durham, NC 27704

Other Identifiers 1

Medicare PIN2057091NC

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

Neil H 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 ID9133126014
PECOS Enrollment IDI20080207000596
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 16

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.
304 services211 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.
199 services164 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.
104 services104 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
80 services80 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
53 services29 patients
Simple change of bladder tube 51705
A simple change of bladder tube involves replacing your current urinary drainage tube with a new one. This is done to maintain hygiene and prevent infections. It's a straightforward process, usually causing minimal discomfort, and helps ensure your body can properly dispose of waste fluids.
53 services17 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers37 claims5,180 services$0.11 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers12 claims23 services$2.14 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
5 suppliers17 claims37 services$10.51 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
4 suppliers22 claims1,210 services$1.89 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers98 claims14,140 services$1.43 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
4 suppliers29 claims4,380 services$6.04 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 (Hematology & Oncology)
4101 N ROXBORO ST
DURHAM, NC 27704
Surgery (Surgical Oncology)
4101 N ROXBORO ST
DURHAM, NC 27704
Radiology (Diagnostic Radiology)
4101 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine (Gastroenterology)
4101 N ROXBORO ST
DURHAM, NC 27704
Pediatrics
4101 N ROXBORO ST
DURHAM, NC 27704
Physician Assistant
4101 N ROXBORO ST
DURHAM, NC 27704
Pediatrics (Neonatal-Perinatal Medicine)
4101 N ROXBORO ST
DURHAM, NC 27704
Internal Medicine (Pulmonary Disease)
4101 N ROXBORO ST
DURHAM, NC 27704

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 Neil Grafstein's NPI number?

The NPI number for Neil Grafstein is 1891800033. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Neil Grafstein located?

Neil Grafstein practices at 4101 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 684-8111.

What is Neil Grafstein's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Neil Grafstein enrolled in Medicare?

Yes. Neil 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.

Is Neil Grafstein affiliated with any hospitals?

According to CMS data, Neil Grafstein is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Neil Grafstein was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.