Doctor profile · Federal record
Dr. Shelly Groenendyk, MD
Anesthesiology Physician (CMS: Anesthesiology) · Anesthesiology Physician · Anesthesiology Physician · Port Jefferson, NY
- NPI 1083060917
- Accepts Medicare
- MIPS 92.8 / 100 · 2023
- 10 yrs in practice
- Licensed in 3 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
75 N Country RD
Port Jefferson, NY 117772190
(516) 382-7399 - Additional location
-
3601 the Vanderbilt Clinic
Nashville, TN 372320001
(615) 322-3000 - Mailing address
-
25 Rocky Hill RD
Mount Sinai, NY 117661213
Credentials & registration
- NPI registered
- May 2016 — 10 yrs on file
- Profile last updated
- November 3, 2024
- Year of graduation
- 2016 — 10 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State licenses (3)
- New York #329018 · Utah #10516430-1205 · Tennessee #63603
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083060917. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
150
Distinct HCPCS
7
Medicare allowed
$15,465
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99205 |
New patient office or other outpatient visit, 60-74 minutes | 49 | 49 | $168 | |
01996 |
Daily hospital management of continuous spinal drug administration | 24 | 16 | $54 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 19 | 19 | $131 | |
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 17 | 17 | $71 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 17 | 17 | $69 | |
64488 |
Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance | 12 | 12 | $60 | |
G2212 |
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 12 | 12 | $30 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 21. This provider delivers 7.1× the peer median.Frequently asked questions
What is Dr. Shelly Groenendyk's medical specialty?
Dr. Shelly Groenendyk practices Anesthesiology Physician in Port Jefferson, NY.
Where does Dr. Shelly Groenendyk practice?
Dr. Shelly Groenendyk practices at 75 N Country RD, Port Jefferson, NY 117772190. Office phone: 5163827399.
What is Dr. Shelly Groenendyk's NPI?
Dr. Shelly Groenendyk's National Provider Identifier (NPI) is 1083060917, issued by NPPES.
Does Dr. Shelly Groenendyk accept Medicare assignment?
Yes. Dr. Shelly Groenendyk accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shelly Groenendyk commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99205); Daily hospital management of continuous spinal drug administration (HCPCS 01996); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.