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Debra Ann Groth , APRN, CNP

Nurse Practitioner โ€ข Rochester, MN

Active NPI 1649451659 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

200 1st St Sw
Rochester, MN 559050001

Call 5072842511 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 1st St Sw

Rochester, MN 559050001

Telephone 5072842511
Organization at the Same NPPES Address or Phone
Mayo Collaborative Services, Inc Facility NPI 1093792350

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Rochester, MN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Mayo Clinic. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2007

Medicare patients

54 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $3,268 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $1,905 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

886 standardized 30-day fills in 2022

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$6,174 in 2022

The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2022.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

19 years (graduated 2007)

CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Debra Groth has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Debra Groth as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Rochester and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 80% of clinicians listed under Nurse Practitioner in Rochester, MN (2024, 557 clinicians with data). Median for this group: 138. Middle half: 60 to 286.

Fewer Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,305 clinicians with data). Median for this group: 182. Middle half: 74 to 371.

Medicare-allowed amount

A lower Medicare-allowed amount than 80% of clinicians listed under Nurse Practitioner in Rochester, MN (2024, 557 clinicians with data). Median for this group: $12,513. Middle half: $4,914 to $25,196.

A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,305 clinicians with data). Median for this group: $14,623. Middle half: $5,937 to $29,671.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Rochester, MN (2024, 557 clinicians with data). Median for this group: $9,429. Middle half: $3,563 to $19,251.

A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,305 clinicians with data). Median for this group: $10,790. Middle half: $4,371 to $22,153.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Debra Groth are from 2022.

985 active clinicians are listed under Nurse Practitioner with a practice address in Rochester, MN (2,645 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rochester

27.3% of these 985 clinicians have the CMS telehealth indicator.

70.6% of these 985 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
42 42 $79.00 $77.81

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2022.

CMS Part D ยท Data Year 2022
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 64 5,207 $1,276.19 31
Lisinopril Lisinopril 48 3,328 $455.99 18
Hydrochlorothiazide Hydrochlorothiazide 33 2,523 $151.13 15
Metoprolol Succinate Metoprolol Succinate 31 1,849 $1,273.42 โ€”
Amlodipine Besylate Amlodipine Besylate 29 2,550 $303.21 17
Levothyroxine Sodium Levothyroxine Sodium 28 2,334 $771.64 13
Losartan Potassium Losartan Potassium 26 2,159 $572.02 12
Metformin Hcl Metformin Hcl 19 984 $243.93 โ€”
Simvastatin Simvastatin 18 1,392 $147.84 โ€”
Omeprazole Omeprazole 18 1,000 $174.52 โ€”
Rosuvastatin Calcium Rosuvastatin Calcium 15 790 $241.29 โ€”
Sertraline Hcl Sertraline Hcl 14 1,260 $228.07 โ€”
Lovastatin Lovastatin 12 522 $190.68 โ€”
Potassium Chloride Potassium Chloride 11 308 $144.26 โ€”

Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-11-01
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MN 1589

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES MN R126649-0
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20080107000695

Enrollment State Jurisdiction

MN

PECOS Control ID

2769562495

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Mayo Clinic

200 1st St Sw, Rochester, MN 559050001

Phone: 5072842511

Secondary Practice Locations

210 9th St Se

Rochester, MN 559046425

Phone: 5072883443

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

36 listed
Dr. Mohammad Alhousani , MD

Internal Medicine - Hematology & Oncology

NPI 1003302019

Doctor of Medicine (M.D.)

Dr. Gregory Anderson , MD

Orthopaedic Surgery

NPI 1003295593

Doctor of Medicine (M.D.)

Dr. Catherine Arnold , MD

Psychiatry & Neurology - Neurology

NPI 1003227554

Doctor of Medicine (M.D.)

Dr. Karun Badwal , DO

Internal Medicine - Geriatric Medicine

NPI 1003268483

Doctor of Osteopathic Medicine (D.O.)

Nathanael Bailey

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003013814
Amy Behnken , CNP

Nurse Practitioner

NPI 1003225244

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐Ÿข
Secondary Practice Location Registered November 01, 2021

Additional practice office at 210 9th St SE, Rochester, MN 559046425

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2021

Nurse Practitioner (license number reported to NPPES: MN 1589)

๐Ÿ“
Updated Practice Location October 07, 2021

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

๐Ÿ“
Updated Business Mailing Address October 07, 2021

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

โœ…
NPI Profile Active March 06, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location March 06, 2017

Registered at 210 9TH ST SE, ROCHESTER, MN 559046425 (Tel: 5072883443)

๐Ÿ“
Updated Business Mailing Address March 06, 2017

Registered at 210 9TH ST SE, ROCHESTER, MN 559046425 (Tel: 5072883443)

๐Ÿ‘ค
Provider Name / Credentials Updated March 06, 2017

Recorded as DEBRA GROTH, APRN, CNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 06, 2017

Nurse Practitioner (license number reported to NPPES: MN R126649-0)

โœ…
NPI Profile Active May 04, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 04, 2015

Registered at 210 9TH ST SE, ROCHESTER, MN 559046425 (Tel: 5072883443)

๐Ÿ“
Business Mailing Address (Initial Record) May 04, 2015

Registered at 210 9TH ST SE, ROCHESTER, MN 559046425 (Tel: 5072883443)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 04, 2015

Recorded as DEBRA GROTH, N.P.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2015

Nurse Practitioner (license number reported to NPPES: MN R126649-0)

๐ŸŸข
Initial NPI Registration & Enumeration November 19, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649451659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2007
Last Update: November 01, 2021
Sole Proprietor: No

Other Nurse Practitioners in Rochester

All Nurse Practitioners in Rochester

Mailing Address

200 1st St Sw

Rochester, MN 559050001

Phone: 5072842511

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.