NPIMap

Individual provider Active NPI

Leo A Grafstein, M.D.

  • Urology Physician
  • Plattsburgh, NY
National Provider Identifier
1093707895
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
214007 Issued in NY
Practice address
15 Degrandpre Way
Plattsburgh, NY 12901-6449
Phone
(518) 561-3900
Fax
(518) 561-7843
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 214007 NY Primary

Addresses

Primary practice location

15 Degrandpre Way
Plattsburgh, NY 12901-6449

Mailing address

36 Colligan PT Rd
Plattsburgh, NY 12901-7112
Phone (518) 562-0787

Other identifiers 1

IdentifierTypeStateIssuer
02090944MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824000923 NY Practitioner - Urology 5092899211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northeastern Ohio University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

80 E Main St
Canton, NY 13617-1450
Phone (315) 386-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Sep 28, 2015 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jul 31, 2023 Accepting new patients
Canton-Potsdam Medical Practice PLLC CurrentSince Feb 1, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jul 31, 2023 Accepting new patients
Canton Potsdam Hospital PastSince Feb 1, 2022 Accepting new patients

Locations

80 E Main St
Canton, NY 13617
Phone (315) 261-6034

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

15 Degrandpre Way
Plattsburgh, NY 12901
Phone (518) 314-3900

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

25 Cottage St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

Interoperability endpoints

  • Direct secure messaging: lgrafstein340860@direct.rochesterregional.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/AGICCA/Endpoint/AGICCA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1093707895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 COLLIGAN PT RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017112",
            "telephone_number": "518-562-0787",
            "fax_number": "518-561-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DEGRANDPRE WAY",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016449",
            "telephone_number": "518-561-3900",
            "fax_number": "518-561-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFSTEIN",
        "first_name": "LEO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "214007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02090944",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.