Active NPI 1639217276 Individual Practitioner Female Practitioner

Dr. Suzanne Mattos Grondin , DPM

Podiatrist • Worcester, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Suzanne Grondin, DPM is a certified Podiatrist practicing in Worcester, MA. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Grondin delivers high-quality medical care to the local community at 123 SUMMER ST.

Dr. Grondin is affiliated with Paul A Cournoyer Dpm Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, trimming of dystrophic nails, any number, removal of fingernails or toenails, 1-5 nails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Summer St
Suite 550

Worcester, MA 016081216

Telephone 5083636868

Fax 5083636866

Associated Practice Facility / Clinic

🏢 Laboratory Corporation Of America Holdings Facility NPI 1093793200

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Worcester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +5.3 yrs vs City Avg

City Avg: 15.7 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

19 Specialists

Practicing in Worcester, MA (308 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grondin (21 Years) 21 Yrs

Worcester Specialty Average (15.7 Years) 15.7 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
11721 Removal of fingernails or toenails, 6 or more nails	379	168	$135.00	$45.39
G0127 Trimming of dystrophic nails, any number	234	93	$45.00	$19.28
11720 Removal of fingernails or toenails, 1-5 nails	226	89	$90.00	$33.50
11056 Removal of noncancer thickened skin growth, 2-4 growths	148	65	$187.36	$84.48
99213 Established patient office or other outpatient visit, typically 15 minutes	93	69	$225.00	$91.99
11055 Removal of single thickened skin growth	77	54	$150.45	$73.57
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$200.00	$73.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	40	$195.00	$56.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$275.00	$110.67
11057 Removal of noncancer thickened skin growth, more than 4 growths	34	11	$199.41	$92.89
11730 Simple separation of fingernail or toenail from nail bed, first nail	11	11	$300.00	$106.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	487	175	$135.00	$45.77
G0127 Trimming of dystrophic nails, any number	248	92	$45.00	$20.41
11720 Removal of fingernails or toenails, 1-5 nails	244	88	$90.00	$34.00
11056 Removal of noncancer thickened skin growth, 2-4 growths	151	64	$184.70	$86.34
99213 Established patient office or other outpatient visit, typically 15 minutes	109	72	$225.00	$91.56
11055 Removal of single thickened skin growth	60	37	$145.00	$75.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$275.00	$112.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	28	$195.00	$58.15
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$200.00	$73.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	452	167	$135.00	$46.30
G0127 Trimming of dystrophic nails, any number	280	119	$45.00	$20.67
11720 Removal of fingernails or toenails, 1-5 nails	277	117	$90.00	$34.21
11056 Removal of noncancer thickened skin growth, 2-4 growths	165	70	$170.09	$88.39
99213 Established patient office or other outpatient visit, typically 15 minutes	129	85	$211.24	$94.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$270.98	$114.19
11055 Removal of single thickened skin growth	45	31	$145.00	$77.64
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$200.00	$76.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	24	$165.36	$58.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	332	140	$135.00	$47.16
11720 Removal of fingernails or toenails, 1-5 nails	328	140	$90.00	$35.21
G0127 Trimming of dystrophic nails, any number	326	142	$45.00	$21.35
11056 Removal of noncancer thickened skin growth, 2-4 growths	173	73	$170.00	$85.83
99213 Established patient office or other outpatient visit, typically 15 minutes	120	73	$200.00	$95.76
11055 Removal of single thickened skin growth	48	33	$131.46	$75.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$260.00	$117.59
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$200.00	$76.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$120.00	$55.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	287	153	$90.00	$35.01
G0127 Trimming of dystrophic nails, any number	281	149	$45.00	$21.11
11721 Removal of fingernails or toenails, 6 or more nails	223	104	$135.00	$48.37
11056 Removal of noncancer thickened skin growth, 2-4 growths	156	69	$170.00	$78.48
99213 Established patient office or other outpatient visit, typically 15 minutes	133	83	$200.00	$77.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$260.00	$111.17
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$200.00	$80.15
11055 Removal of single thickened skin growth	35	28	$125.00	$66.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	26	$110.00	$47.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	396	159	$90.00	$35.36
G0127 Trimming of dystrophic nails, any number	389	158	$45.00	$22.66
11721 Removal of fingernails or toenails, 6 or more nails	360	150	$135.00	$48.28
11056 Removal of noncancer thickened skin growth, 2-4 growths	208	89	$170.00	$69.99
99213 Established patient office or other outpatient visit, typically 15 minutes	172	100	$200.00	$76.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$260.00	$114.07
J1100 Injection, dexamethasone sodium phosphate, 1 mg	48	15	$7.00	$0.12
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$200.00	$80.49
11042 Removal of skin and tissue, 20.0 sq cm or less	46	13	$270.00	$130.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	30	$110.00	$47.65
11055 Removal of single thickened skin growth	36	25	$125.00	$60.15
J1030 Injection, methylprednisolone acetate, 40 mg	24	14	$10.00	$6.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11720 Removal of fingernails or toenails, 1-5 nails	371	128	$90.24	$36.66
G0127 Trimming of dystrophic nails, any number	364	125	$45.12	$24.71
11721 Removal of fingernails or toenails, 6 or more nails	345	143	$135.00	$49.98
11056 Removal of noncancer thickened skin growth, 2-4 growths	158	72	$170.00	$64.44
99213 Established patient office or other outpatient visit, typically 15 minutes	147	88	$200.00	$79.96
11042 Removal of skin and tissue, 20.0 sq cm or less	70	23	$258.29	$63.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$260.00	$118.41
11055 Removal of single thickened skin growth	52	38	$125.00	$53.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	31	$97.11	$48.42
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$204.65	$82.09
J1100 Injection, dexamethasone sodium phosphate, 1 mg	25	11	$7.00	$0.12
J1030 Injection, methylprednisolone acetate, 40 mg	13	11	$10.00	$6.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails	339	142	$135.00	$46.59
11720 Removal of fingernails or toenails, 1-5 nails	319	121	$90.00	$33.66
G0127 Trimming of dystrophic nails, any number	316	118	$45.00	$22.90
99213 Established patient office or other outpatient visit, typically 15 minutes	150	81	$195.00	$75.01
11056 Removal of noncancer thickened skin growth, 2-4 growths	117	62	$170.00	$61.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$254.78	$110.30
11042 Removal of skin and tissue, 20.0 sq cm or less	63	21	$250.00	$61.00
99183 Management and supervision of oxygen chamber therapy per session	44	14	$250.00	$112.75
11055 Removal of single thickened skin growth	42	32	$125.00	$49.70
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$196.67	$77.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$90.00	$45.21

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License MA 2319

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0711772 (MA)

Commercial Insurance / Payer ID Fallon Health Plan

121815 (MA)

Commercial Insurance / Payer ID Blue Sheild Of Ma

Y71137 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

466883 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim Health

AA84858 (MA)

Hospital & Practice Group Affiliations

Paul A Cournoyer Dpm Pc

123 Summer St, Worcester, MA 016081216

Phone: 5083636868

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Rahul Mishra , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1003553942

Doctor of Podiatric Medicine

Dr. Paul Cournoyer , DPM

Podiatrist

NPI 1609819234

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 25, 2016

Registered at 123 SUMMER ST, SUITE 550, WORCESTER, MA 016081216 (Tel: 5083636868)

📍

Updated Business Mailing Address April 25, 2016

Registered at 123 SUMMER ST, SUITE 550, WORCESTER, MA 016081216 (Tel: 5083636868)

👤

Provider Name / Credentials Updated April 25, 2016

Recorded as SUZANNE GRONDIN, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2016

Podiatrist (License #2319 in MA)

🟢

Initial NPI Registration & Enumeration February 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1639217276

Entity Type:

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

Enumeration Date: February 04, 2007

Last Update: April 25, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

123 Summer St, Suite 550

Worcester, MA 016081216

Phone: 5083636868

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.