Leo Grafstein, M.D.
NPI 1093707895 · Urology Physician · Plattsburgh, NY
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leo Grafstein, M.D. is a Urology Physician provider in Plattsburgh, NY (NPI 1093707895).
Provider details
- NPI number
- 1093707895
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 214007 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
610 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 362 | $64 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 69 | $80 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 58 | $78 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 57 | $95 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 40 | $128 |
| Biopsy of Prostate Gland |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tamsulosin Hcl | 187 | 77 |
| Ciprofloxacin Hcl | 124 | 94 |
| Finasteride | 121 | 42 |
| Mirabegronbrand: Myrbetriq | 47 | 23 |
| Enzalutamidebrand: Xtandi | 36 | — |
| Cefpodoxime Proxetil | 27 | 17 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$95 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-17
- Last updated
- 2010-06-17
Frequently asked questions
- What is Leo Grafstein's NPI number?
- Leo Grafstein's National Provider Identifier (NPI) is 1093707895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leo Grafstein's specialty?
- Leo Grafstein is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Leo Grafstein located?
- Leo Grafstein's practice location on file with NPPES is 15 Degrandpre Way, Plattsburgh, NY 12901-6449.
- What is Leo Grafstein's phone number?
- The practice phone number listed in the NPPES registry for Leo Grafstein is (518) 561-3900.
- Does Leo Grafstein accept Medicare?
- Leo Grafstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Leo Grafstein's NPI active?
- Yes — Leo Grafstein's NPI (1093707895) is active in the NPPES registry as of the last update on 2010-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.