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Active NPI 1558640011 Individual Practitioner Female Practitioner

Dalery Grullon , PA-C

Physician Assistant • Lancaster, PA

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dalery Grullon, PA-C is a registered Physician Assistant practitioner in Lancaster, PA. With approximately 15 years of clinical practice since completing medical education in 2011, Dalery Grullon provides healthcare services at the registered practice location at 540 N DUKE ST.

Dalery Grullon maintains professional affiliations with Lancaster General Medical Group, Physician Affiliate Group Of New York Pc 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, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

540 N Duke St

Lancaster, PA 176022374

Telephone 7175446111
Associated Practice Facility / Clinic
🏢 Lancaster General Hospital Facility NPI 1154418358

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lancaster, PA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs +3.6 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
167 Specialists

Practicing in Lancaster, PA (8068 Statewide)

Telehealth Adoption Rate
13.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
62.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grullon (15 Years) 15 Yrs
Lancaster Specialty Average (11.4 Years) 11.4 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
183 180 $245.08 $72.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43 43 $269.56 $104.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
43 43 $268.09 $91.40
81003 Automated urinalysis test
30 30 $8.00 $2.20
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
29 28 $16.62 $5.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $290.67 $135.76

Medical Specialties & State Licenses

CMS Verified: 2024-03-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA058779

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License NY 014920

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
014920 (NY)

Hospital & Practice Group Affiliations

Physician Affiliate Group Of New York Pc

234 E 149 St, Bronx, NY 104515504

Phone: 7185796101

Lancaster General Medical Group

3045 Marietta Ave, Lancaster, PA 176011321

Phone: 7172994644

Lancaster General Medical Group

2118 Spring Valley Rd, Lancaster, PA 176012427

Phone: 2156152222

Physician Affiliate Group Of New York Pc

2601 Ocean Pkwy, Brooklyn, NY 112357745

Phone: 7186165356

Lancaster General Medical Group

895 E Main St, Ephrata, PA 175222545

Lancaster General Medical Group

432 Cloverleaf Rd, Elizabethtown, PA 170229320

Phone: 7175446350

Lancaster General Medical Group

426 Cloverleaf Rd, Elizabethtown, PA 170229320

Phone: 7173931900

Lancaster General Medical Group

418 Cloverleaf Rd, Elizabethtown, PA 170229320

Phone: 7176277696

Lancaster General Medical Group

950 S Octorara Trl, Parkesburg, PA 193652100

Lancaster General Medical Group

51 Peters Rd, Lititz, PA 175437685

Lancaster General Medical Group

540 N Duke St, Lancaster, PA 176022374

Phone: 7175446111

Lancaster General Medical Group

1701 Cornwall Rd, Lebanon, PA 170427480

Lancaster General Medical Group

950 S Octorara Trail, Parkesburg, PA 193652100

Secondary Practice Locations

234 E 149th St

Bronx, NY 104515504

Phone: 7185795000

Practice Associates & Co-Workers

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

14 Associated Practitioners
Megan Saich

Family Medicine

NPI 1003705021
Caroline Poole , PA-C

Physician Assistant - Medical

NPI 1093257099

Physician Assistant (Certified)

Erynne Lehman , PA-C

Physician Assistant

NPI 1124197553

Physician Assistant (Certified)

Karen Alejandres

Physician Assistant

NPI 1518848894
Natalie Craig , PA-C

Physician Assistant - Medical

NPI 1578442174

Physician Assistant (Certified)

Dr. David Byler , MD

Family Medicine

NPI 1710935648

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location March 14, 2024

Registered at 540 N DUKE ST, LANCASTER, PA 176022374 (Tel: 7175446111)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2024

Physician Assistant (License #014920 in NY)

📍
Updated Business Mailing Address April 24, 2018

Registered at 2450 W HUNTING PARK AVE, PHILADELPHIA, PA 191291302 (Tel: 2157075030)

NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2017

Registered at 3401 N. BROAD STREET, PHILADELPHIA, PA 191401012 (Tel: 2157074353)

📍
Updated Business Mailing Address August 23, 2017

Registered at 2450 W. HUNTING PARK AVENUE, 3RD FLOOR, PHILADELPHIA, PA 191291012 (Tel: 2157078561)

👤
Provider Name / Credentials Updated August 23, 2017

Recorded as DALERY GRULLON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Physician Assistant (License #MA058779 in PA)

📍
Updated Practice Location April 10, 2017

Registered at 3401 N. BROAD STREET, PHILADELPHIA, PA 191401012 (Tel: 2157074353)

📍
Updated Business Mailing Address April 10, 2017

Registered at 2450 W. HUNTING PARK AVENUE, 3RD FLOOR, PHILADELPHIA, PA 191291012 (Tel: 2157078561)

NPI Profile Active April 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2013

Registered at 195 CANAL ST, MALDEN, MA 021486701 (Tel: 6176651600)

📍
Updated Business Mailing Address April 26, 2013

Registered at 195 CANAL ST, MALDEN, MA 021486701 (Tel: 6176651600)

👤
Provider Name / Credentials Updated April 26, 2013

Recorded as DALERY GRULLON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2013

Physician Assistant (License #014920 in NY)

🟢
Initial NPI Registration & Enumeration August 15, 2011

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: 1558640011
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2011
Last Update: March 14, 2024
Sole Proprietor: No

Mailing Address

2450 W Hunting Park Ave

Philadelphia, PA 191291302

Phone: 2157075030

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.