DR. MARK LAND GROSSETETE M.D. PH.D. NPI 1447592498

NPI Details

DR. Mark Land Grossetete, M.D., PH.D. is a neurology psychiatry neurology in Santa Rosa, NM with 13 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Mark Land Grossetete, M.D., PH.D. NPI is 1447592498. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

117 CAMINO DE VIDA STE 300
SANTA ROSA, NM
ZIP 88435
Phone: (575) 472-4311
Fax: (575) 472-4313

The NPI 1447592498 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
• Destruction of peripheral nerve or branch (HCPCS:64640)
• Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 3/17/2013 and was last updated on 1/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: