Michele Grodberg, M.D.
NPI 1225047038ActiveIndividual· Dermatology· Englewood, NJ
Opted out of Medicare from April 2022 to April 2028. Dermatology (M.D.) in Englewood, New Jersey, licensed in NJ, with an NPI issued in August 2006. Part D covered 156 prescriptions written in 2024, 92% of them generic. Revance Therapeutics, Inc. reported $253.93 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1225047038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 8, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 25MA05620200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Apr 1, 2022 – Apr 1, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Part D prescriptions in 2024
| Prescriptions (claims) | 156 · 184 30-day fills |
|---|---|
| Patients | 65 |
| Total drug cost | $4,249 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
- 2025$253.93 · 4 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $253.93 | 4 |
What the 2025 payments were for
- Food and Beverage$253.93 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dermatology providers in Englewood
- 1194734921
- 1811472111
- 1922341783
- 1922733575
- 1679700868
- 1407968910
- 1164432043
- 1316958101
- 1063493898
- 1689685778