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Deactivated NPI 1750374633 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Louis Grzonka , MD

Urology • Lock Haven, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Grzonka has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 26, 2005
NPI Deactivation Date October 05, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Grzonka, MD was a registered Urology practicing in Lock Haven, PA. Throughout an active medical career spanning 17 years, Dr. Grzonka provided care at the practice location at 208 E CHURCH ST until profile deactivation on 2022-10-05.

Historical Medicare Part B clinical services included ultrasound measurement of bladder capacity after voiding, established patient outpatient office visit, manual urinalysis test with examination using microscope, non-automated. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

208 E Church St
Ste 300

Lock Haven, PA 177452025

Telephone 5707480590
Fax 5707480749
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Lock Haven, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Lock Haven, PA (720 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.1% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
51798 Ultrasound measurement of bladder capacity after voiding
102 80 $40.00 $10.13
99213 Established patient office or other outpatient visit, typically 15 minutes
73 65 $159.00 $88.88
81000 Manual urinalysis test with examination using microscope, non-automated
56 42 $9.00 $4.01
81002 Urinalysis, manual test
54 47 $20.00 $3.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
38 31 $237.00 $126.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $228.00 $110.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $350.00 $165.74

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License PA MD452001

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Chelsea Macnamara , PA-C

Physician Assistant - Medical

NPI 1528443058

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events
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NPI Profile Deactivated October 05, 2022

Record deactivated on October 05, 2022

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Updated Practice Location March 25, 2021

Registered at 1 OUTLET LN STE 400, SUITE 400, LOCK HAVEN, PA 177457814 (Tel: 5707691300)

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Updated Business Mailing Address March 25, 2021

Registered at 1 OUTLET LN STE 400, SUITE 400, LOCK HAVEN, PA 177457814

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Provider Name / Credentials Updated March 25, 2021

Recorded as ROBERT GRZONKA

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Updated Practice Location July 04, 2018

Registered at 1 OUTLET LN STE 400, LOCK HAVEN, PA 17745 (Tel: 5707691300)

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Updated Business Mailing Address July 04, 2018

Registered at 1 OUTLET LN STE 400, LOCK HAVEN, PA 177457814 (Tel: 5707691300)

NPI Profile Active November 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 22, 2016

Registered at 208 E CHURCH ST, STE 300, LOCK HAVEN, PA 177452025 (Tel: 5707480590)

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Updated Business Mailing Address November 22, 2016

Registered at 208 E CHURCH ST, STE 300, LOCK HAVEN, PA 177452025 (Tel: 5707480590)

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Provider Name / Credentials Updated November 22, 2016

Recorded as ROBERT GRZONKA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2016

Urology (License #MD452001 in PA)

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Initial NPI Registration & Enumeration August 26, 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: 1750374633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2005
Last Update: November 22, 2016
Deactivation Date: October 05, 2022

Mailing Address

208 E Church St, Ste 300

Lock Haven, PA 177452025

Phone: 5707480590

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.