Lana Grzybicki, DPM
Individual provider Active NPI Podiatrist · Old Forge, PA
NPI 1790737765 · NPPES record last updated Oct 19, 2010
Key facts
- NPI
- 1790737765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- SC003236L (PA)
- Practice address
- 429 S Main St
Ste 2
Old Forge, PA 18518-1684 - Phone
- (570) 457-1733
- Fax
- (570) 457-1734
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
429 S Main St
Suite 2
Old Forge, PA 18518-1684
Phone (270) 457-1733
Hospital & facility affiliations
- John Heinz Institute of Rehabilitation Medicine
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.64 of 100
- Quality
- 67.82
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 27 |
| Removal of nail tissue | 2136 |
| Removal or shaving of skin growth | 1073 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080607000015 | PA | Practitioner - Podiatry | 4284704982 | Practice locations: Old Forge, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- drgrzybicki@podiatrypractice.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003236L | PA | Yes |
Addresses
Primary practice location
429 S Main St
Ste 2
Old Forge, PA 18518-1684
Mailing address
429 S Main St
Ste 2
Old Forge, PA 18518-1684
Phone (570) 457-1733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001451920003 | Medicaid | PA |
Other providers in Old Forge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.