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Active NPI 1124009253 Individual Practitioner Male Practitioner

Dr. Tad Edward Grenga , MD

Plastic Surgery • Suffolk, VA

Professional Overview & Biography Verified Profile Summary

Dr. Tad Grenga, MD is a registered healthcare professional specializing in Plastic Surgery in Suffolk, VA. Practice services are available at 5818 HARBOUR VIEW BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5818 Harbour View Blvd
Suite 220

Suffolk, VA 234353315

Telephone 7576735900
Fax 7576735905
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Suffolk, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.5 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Suffolk, VA (139 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.1% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
257 193 $90.00 $56.77
11102 Tangential biopsy of single skin lesion
109 97 $210.00 $99.13
99202 New patient office or other outpatient visit, typically 20 minutes
69 69 $110.00 $73.95
11103 Biopsy of related skin growth, each additional growth
45 37 $160.00 $54.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43 43 $136.28 $129.45
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs
16 16 $300.00 $230.44
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm
15 15 $600.00 $230.02
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
11 11 $3400.00 $572.96

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License VA 0101041085

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
006901395 (VA)
Commercial Insurance / Payer ID Anthem
118152 (VA)
Commercial Insurance / Payer ID Mamsi
410829 (VA)
Commercial Insurance / Payer ID Sentara/optima
15906 (VA)

Practice Associates & Co-Workers

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

19 Associated Practitioners
Pamela Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093044463

Certified Registered Nurse Anesthetist

Dr. Chad Mckenzie , DO

Surgery - Vascular Surgery

NPI 1114925500

Doctor of Osteopathic Medicine (D.O.)

Tamara Tjepkema , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144238965

Certified Registered Nurse Anesthetist

Kathryn Pond , FNP

Nurse Practitioner - Family

NPI 1154305795

Family Nurse Practitioner

Charles Fairbanks

Physical Therapy Assistant

NPI 1184287898
NPI 1225010143

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 January 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 06, 2017

Registered at 5818 HARBOUR VIEW BLVD, SUITE 220, SUFFOLK, VA 234353315 (Tel: 7576735900)

📍
Updated Business Mailing Address January 06, 2017

Registered at 5818 HARBOUR VIEW BLVD, SUITE 220, SUFFOLK, VA 234353315 (Tel: 7576735900)

👤
Provider Name / Credentials Updated January 06, 2017

Recorded as TAD GRENGA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2017

Plastic Surgery (License #0101041085 in VA)

🟢
Initial NPI Registration & Enumeration November 07, 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: 1124009253
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2005
Last Update: January 06, 2017
Sole Proprietor: Yes

Mailing Address

5818 Harbour View Blvd, Suite 220

Suffolk, VA 234353315

Phone: 7576735900

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.