Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194727909 Individual Practitioner Male Practitioner

Dr. Mark Allen Grevious , MD

Plastic Surgery • Munster, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Grevious, MD is a certified Plastic Surgery practicing in Munster, IN. With approximately 32 years of clinical experience since graduating from Rutgers New Jersey Medical School in 1994, Dr. Grevious delivers high-quality medical care to the local community at 7905 CALUMET AVE.

Dr. Grevious maintains professional affiliations with Specialty Physicians Of Illinois Llc, Rockford Health Physicians, Cook County and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, x-ray of wrist, minimum of 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7905 Calumet Ave

Munster, IN 463212549

Telephone 2198367506
Fax 2198367515
Associated Practice Facility / Clinic
🏢 Physicians Optical Center Llc Facility NPI 1962555177

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Munster, IN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs Matches City Avg
City Avg: 32.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Munster, IN (84 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
44.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grevious (32 Years) 32 Yrs
Munster Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
18 14 $124.06 $68.82

Medical Specialties & State Licenses

CMS Verified: 2025-04-25
Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MN 72578

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License IL 036100551

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License IN 01060561A

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Surgery

NUCC Taxonomy Code: 208600000X

State License IN 01060561A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License IL 036100551

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License IL 036100551

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036-100551-1 (IL)

Hospital & Practice Group Affiliations

The Board Of Trustees Of The University Of Illinois

1009 S Wood St, Chicago, IL 606123747

Phone: 3123554300

Rockford Health Physicians

8201 E Riverside Blvd, Rockford, IL 611142300

Phone: 8159712000

Cook County

500 E 51st St, Chicago, IL 606152494

Phone: 3125722000

Specialty Physicians Of Illinois Llc

3900 W 203rd St, Olympia Fields, IL 604611183

Phone: 7086792380

Cook County

1901 W Harrison St, Chicago, IL 606123714

Cook County

1901 W Harrison St, Chicago, IL 606123714

Phone: 3126337292

Secondary Practice Locations

3900 W 203rd St

Olympia Fields, IL 604611183

Phone: 7088557071

1740 W Taylor St

Chicago, IL 606127232

Phone: 3129967000

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Lisa Whitty Bradley , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1801808662

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2025

Plastic Surgery (License #036100551 in IL)

📍
Updated Business Mailing Address September 14, 2023

Registered at 849 W OHIO ST, CHICAGO, IL 606426982

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2021

Plastic Surgery (License #01060561A in IN)

📍
Updated Practice Location December 18, 2020

Registered at 7905 CALUMET AVE, MUNSTER, IN 463212549 (Tel: 2198367506)

📍
Updated Business Mailing Address December 18, 2020

Registered at PO BOX 781076, DETROIT, MI 482781076 (Tel: 3175284800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2020

Plastic Surgery (License #036100551 in IL)

NPI Profile Active July 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2015

Registered at 820 S WOOD ST, SUITE 515 CSN (MC 958), CHICAGO, IL 606124325 (Tel: 3129969313)

📍
Updated Business Mailing Address July 18, 2015

Registered at 849W OHIO ST 1, CHICAGO, IL 606428901 (Tel: 3126352262)

👤
Provider Name / Credentials Updated July 18, 2015

Recorded as MARK GREVIOUS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2015

Surgery (License #036100551 in IL)

🟢
Initial NPI Registration & Enumeration August 11, 2005

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: 1194727909
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: April 25, 2025
Sole Proprietor: No

Mailing Address

849 W Ohio St

Chicago, IL 606426982

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.