Active NPI 1093707895 Individual Practitioner Male Practitioner

Dr. Leo A Grafstein , MD

Urology • Plattsburgh, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Leo Grafstein, MD is a certified Urology practicing in Plattsburgh, NY. With approximately 33 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1993, Dr. Grafstein delivers high-quality medical care to the local community at 15 DEGRANDPRE WAY.

Dr. Grafstein is affiliated with Canton-Potsdam Hospital and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

15 Degrandpre Way

Plattsburgh, NY 129016449

Telephone 5185613900

Fax 5185617843

Associated Practice Facility / Clinic

🏢 Urology Associates Of Northeastern New York Pc Facility NPI 1750471082

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Plattsburgh, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 30.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Plattsburgh, NY (1156 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

65.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grafstein (33 Years) 33 Yrs

Plattsburgh Specialty Average (33.0 Years) 33.0 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	362	230	$222.00	$64.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$222.00	$79.99
52000 Diagnostic exam of bladder and urethra using an endoscope	58	47	$327.58	$77.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	46	$294.00	$94.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$273.13	$127.54
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	12	12	$54.65	$29.42
55700 Biopsy of prostate gland	12	12	$349.99	$125.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	199	$217.58	$79.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$218.51	$99.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$272.59	$150.55
52000 Diagnostic exam of bladder and urethra using an endoscope	60	51	$327.58	$180.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	48	$290.23	$115.27
81002 Urinalysis, manual test	54	54	$3.97	$3.36
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	15	$684.10	$397.53
99441 Telephone medical discussion with physician, 5-10 minutes	13	11	$69.07	$45.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	112	$151.76	$84.84
81002 Urinalysis, manual test	134	128	$9.78	$3.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$204.07	$108.18
52000 Diagnostic exam of bladder and urethra using an endoscope	62	54	$337.95	$240.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$277.85	$164.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$175.80	$82.34
99213 Established patient office or other outpatient visit, typically 15 minutes	42	36	$136.55	$66.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	20	$218.91	$126.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	606	375	$155.00	$66.43
52000 Diagnostic exam of bladder and urethra using an endoscope	143	113	$396.00	$79.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	91	65	$229.00	$98.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$230.00	$82.71
99441 Telephone medical discussion with physician, 5-10 minutes	51	46	$27.00	$27.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$351.00	$134.81
76872 Ultrasound scan of pelvic region through rectum	20	20	$277.00	$32.88
55700 Biopsy of prostate gland	20	20	$523.00	$128.97
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	17	$935.79	$421.44
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	15	$564.00	$149.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	550	388	$155.00	$51.02
52000 Diagnostic exam of bladder and urethra using an endoscope	153	117	$396.00	$81.54
99441 Telephone medical discussion with physician, 5-10 minutes	127	124	$27.00	$27.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	61	$229.00	$77.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$230.00	$75.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$351.00	$128.81
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	19	$564.00	$152.17
52356 Crushing of stone of ureter with insertion of stent using an endoscope	20	18	$977.90	$440.24
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	16	16	$27.00	$14.29
55700 Biopsy of prostate gland	15	15	$523.00	$126.06
76872 Ultrasound scan of pelvic region through rectum	15	15	$286.53	$33.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$287.00	$136.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	692	406	$140.26	$49.72
52000 Diagnostic exam of bladder and urethra using an endoscope	140	105	$399.60	$80.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	67	$205.15	$76.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$311.26	$125.30
51705 Removal of skin suture with change of bladder tube	64	18	$180.75	$51.32
51720 Instillation of anti-cancer drug into bladder	54	12	$217.00	$43.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$209.61	$73.83
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	27	24	$482.15	$149.72
52356 Crushing of stone of ureter with insertion of stent using an endoscope	23	21	$889.00	$421.22
51703 Complicated insertion of bladder tube	19	12	$266.11	$76.37
76872 Ultrasound scan of pelvic region through rectum	17	17	$285.41	$32.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$264.25	$133.09
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$1017.00	$133.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	701	446	$132.83	$49.67
52000 Diagnostic exam of bladder and urethra using an endoscope	160	121	$400.73	$81.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	92	$193.72	$75.43
51705 Removal of skin suture with change of bladder tube	69	20	$180.00	$51.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$288.85	$125.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$186.12	$69.77
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	19	$480.48	$145.53
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	17	$861.74	$384.62
55700 Biopsy of prostate gland	13	13	$404.00	$128.84
76872 Ultrasound scan of pelvic region through rectum	12	12	$277.00	$33.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	698	436	$140.58	$49.12
52000 Diagnostic exam of bladder and urethra using an endoscope	148	116	$401.00	$99.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	73	$207.00	$76.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	82	82	$317.00	$125.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$207.38	$74.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	35	$360.50	$196.15
76856 Complete ultrasound scan of pelvis	25	23	$225.92	$33.86
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	23	22	$479.00	$149.19
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	19	$1176.63	$381.34
52332 Insertion of stent in urinary duct (ureter) using an endoscope	15	14	$1169.40	$95.44
52214 Destruction of tissue of bladder, urethra, or surrounding glands using an endoscope	12	12	$1284.00	$174.32

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NY 214007

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

Medicaid State Provider ID

02090944 (NY)

Hospital & Practice Group Affiliations

Canton-Potsdam Hospital

80 E Main St, Canton, NY 136171450

Phone: 3153863300

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Diego Grinberg-Funes , MD

Urology

NPI 1811989916

Doctor of Medicine (M.D.)

Dr. John Banko , MD

Urology

NPI 1881686897

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 17, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 17, 2010

Registered at 15 DEGRANDPRE WAY, PLATTSBURGH, NY 129016449 (Tel: 5185613900)

📍

Updated Business Mailing Address June 17, 2010

Registered at 36 COLLIGAN PT RD, PLATTSBURGH, NY 129017112 (Tel: 5185620787)

👤

Provider Name / Credentials Updated June 17, 2010

Recorded as LEO GRAFSTEIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2010

Urology (License #214007 in NY)

🟢

Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1093707895

Entity Type:

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

Enumeration Date: August 17, 2005

Last Update: June 17, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

36 Colligan Pt Rd

Plattsburgh, NY 129017112

Phone: 5185620787

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.