ROBERT A GIELCZYK (MD) – Dermatology Physician, NPI 1891708590

ROBERT A GIELCZYK (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 4301079984 (MI). The NPI Number for ROBERT A GIELCZYK (MD) is 1891708590

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT A GIELCZYK (MD)
NPI
1891708590
Phone
(616) 784-9300
Address
650 3 Mile Rd NW Ste 100
Enumeration Date
14 August 2006
Last Update Date
27 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
9062255458
Graduation Year
2002 (24 years ago)
PAC ID
9830194802
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20060926000048
Address ID
MI498558977MA1007XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for ROBERT A GIELCZYK (MD)

  • 650 3 Mile Rd NW Ste 100

    Grand Rapids, MI 495441624

    Phone: (616) 784-9300

    Fax: (616) 784-9308

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 6225, Prairie Street, Norton Shores, Muskegon County, Michigan, 49444, United States

    NORTON SHORES, MI 494447831

    Phone: (231) 798-9500

    Fax: (231) 798-9533

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $603.

Total Amount is formed as General ($603) + Research ($0) + Ownership ($0) = $603.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: UCB, Inc. ($234).

Total Amount

$603

General + Research + Ownership

Payments

9

Total payment records

General Amount

$603

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060926000048IDermatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,269288$0
99213Established patient office or other outpatient visit, 20-29 minutes557523$0
17000Destruction of precancer skin growth, 1 growth427398$0
99214Established patient office or other outpatient visit, 30-39 minutes273232$0
11102Biopsy of related skin growth, first growth223207$0
View full utilization report →

Insurance plans in this area (ZIP 49544)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for ROBERT A GIELCZYK (MD) in U.S. healthcare records?
The official identifier for ROBERT A GIELCZYK (MD) is NPI 1891708590.
Active or inactive — what applies to ROBERT A GIELCZYK (MD)?
You should see ROBERT A GIELCZYK (MD) as active in CMS-hosted NPPES data.
How would a patient describe ROBERT A GIELCZYK (MD)'s focus?
For ROBERT A GIELCZYK (MD), the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ROBERT A GIELCZYK (MD)?
Directory geography for ROBERT A GIELCZYK (MD) centers on Grand Rapids, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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