DR. GRODONOFF NELSON D.O.
NPI 1912213935
Family Medicine in Ocala, FL

Active since August 27, 2010Opted out of Medicare · through Apr 1, 2028
100/100
CMS Quality Rating
2300 SE 17TH ST, SUITE 402, OCALA, FL 34471(352) 351-0120(352) 351-0107 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Grodonoff Nelson D.o. NPPES

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

DR. GRODONOFF NELSON D.O. (NPI 1912213935) is an individual family medicine provider in Ocala, Florida, licensed in Florida (OS11869) and active in the NPI registry since August 2010. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer, is affiliated with Adventhealth Ocala, and maintains a secondary practice location in Maitland.

NPPES Registry Identity

NPI1912213935
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GRODONOFF NELSONCredential: D.O.
Location Address2300 SE 17TH ST, SUITE 402Ocala, FL 34471-9107
Mailing Address2300 Se 17th St, Suite 402Ocala, FL 34471-9107 · (352) 351-0120 · Fax (352) 351-0107
Fax(352) 351-0107
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2010
Enumeration DateAugust 27, 2010
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
NPI 1912213935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · OS11869
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2300 SE 17TH ST, Ocala, FL 34471

Secondary Practice Location 1

Location 12400 Maitland Center Pkwy Ste 310Maitland, FL 32751-7442 · Phone (352) 329-1800 · Fax (352) 329-1810

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Grodonoff Nelson D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2026 through April 1, 2028.

Opt-Out Effective DateApril 1, 2026
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 23

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
282 services165 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.
274 services189 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
138 services45 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
116 services34 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
101 services21 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
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.

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

Reported Quality Measures

e-Prescribing
88%2,568 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%716 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 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers38 claims150 services$6.63 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers27 claims51 services$1.13 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$17.90 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers25 claims26 services$178.06 avg. paid by Medicare
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$167.59 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 11

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

Radiology (Diagnostic Radiology)
2300 SE 17TH ST, BLDG 800
OCALA, FL 34471
Chiropractor
2300 SE 17TH ST, 1100
OCALA, FL 34471
Registered Nurse (Registered Nurse First Assistant)
2300 SE 17TH ST, SUITE 500
OCALA, FL 34471
Nurse Practitioner
2300 SE 17TH ST, SUITE 500
OCALA, FL 34471
Pain Medicine (Interventional Pain Medicine)
2300 SE 17TH ST, SUITE 1000
OCALA, FL 34471
Physician Assistant
2300 SE 17TH ST, ST 500
OCALA, FL 34471
Specialist
2300 SE 17TH ST, SUITE 500
OCALA, FL 34471
Orthopaedic Surgery
2300 SE 17TH ST, SUITE 500
OCALA, FL 34471

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 Grodonoff Nelson's NPI number?

The NPI number for Grodonoff Nelson is 1912213935. It was assigned to this individual provider in the NPPES registry on August 27, 2010.

Where is Grodonoff Nelson located?

Grodonoff Nelson practices at 2300 SE 17th St Suite 402, Ocala, FL 34471. The listed phone number is (352) 351-0120.

What is Grodonoff Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Grodonoff Nelson enrolled in Medicare?

No. Grodonoff Nelson has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Grodonoff Nelson accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Grodonoff Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Grodonoff Nelson affiliated with any hospitals?

According to CMS data, Grodonoff Nelson is affiliated with Adventhealth Ocala.

When was this NPI record last updated?

The NPPES record for Grodonoff Nelson was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.