Active NPI 1811048812 Individual Practitioner Male Practitioner

Dr. Anthony M Grimaldi , DO

Urology • Olympia Fields, IL

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Grimaldi, DO is a registered healthcare professional specializing in Urology in Olympia Fields, IL. Practice services are available at 20201 CRAWFORD AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of bladder and urethra using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

20201 Crawford Ave
Suite 1276

Olympia Fields, IL 604611010

Telephone 7086792270

Fax 7086792272

Associated Practice Facility / Clinic

🏢 Alverno Lakeside Corporation Facility NPI 1124021266

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Olympia Fields, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.0 Yrs

State Avg: 26.7 Yrs

Regional Practice Density

7 Specialists

Practicing in Olympia Fields, IL (663 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	52	$150.00	$102.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$190.00	$138.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	93	$150.00	$99.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$200.00	$150.00
52000 Diagnostic exam of bladder and urethra using an endoscope	16	16	$450.00	$75.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	88	$150.00	$98.86
99213 Established patient office or other outpatient visit, typically 15 minutes	30	28	$95.00	$67.02
52000 Diagnostic exam of bladder and urethra using an endoscope	28	26	$450.00	$75.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$200.00	$150.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	162	$162.60	$104.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	83	$75.46	$45.26
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	90	15	$750.00	$214.55
99213 Established patient office or other outpatient visit, typically 15 minutes	67	59	$106.43	$71.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	61	$224.58	$160.72
51798 Ultrasound measurement of bladder capacity after voiding	43	42	$58.70	$20.86
52000 Diagnostic exam of bladder and urethra using an endoscope	25	20	$443.24	$92.91
52000 Diagnostic exam of bladder and urethra using an endoscope	23	23	$437.00	$160.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	16	$233.50	$146.44
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	17	16	$68.00	$34.28
55700 Biopsy of prostate gland	15	15	$770.67	$129.88
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$1041.57	$115.61
76872 Ultrasound scan of pelvic region through rectum	14	14	$97.50	$32.63

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License IL 036053826

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 21626252

BLUE CROSS BLUE SHIE (IL)

Commercial Insurance / Payer ID Medicare Ptan

203979055 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Benjamin Ellison , DO

Student in an Organized Health Care Education/Training Program

NPI 1043007123

Doctor of Osteopathic Medicine (D.O.)

Dr. James Siegert , DO

Urology

NPI 1245556224

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 03, 2015

Registered at 20201 CRAWFORD AVE, SUITE 1276, OLYMPIA FIELDS, IL 604611010 (Tel: 7086792270)

📍

Updated Business Mailing Address December 03, 2015

Registered at 1040 SIERRA DR, SUITE 400, GREENWOOD, IN 461437240 (Tel: 3175284253)

👤

Provider Name / Credentials Updated December 03, 2015

Recorded as ANTHONY GRIMALDI, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2015

Urology (License #036053826 in IL)

🟢

Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811048812

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 16, 2007

Last Update: December 03, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1040 Sierra Dr, Suite 400

Greenwood, IN 461437240

Phone: 3175284253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.