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DR. KENNETH L GROTZ MD
NPI 1063521631
Emergency Medicine in Augusta, GA

Active since August 29, 2006PECOS EnrolledAccepts Medicare Assignment
3651 WHEELER ROAD, AUGUSTA, GA 30909(706) 651-2369(706) 651-2364 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth L Grotz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH L GROTZ MD (NPI 1063521631) is an individual emergency medicine provider in Augusta, Georgia, licensed in Georgia (037820) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Coffee Regional Medical Center, Inc, and is a graduate of Temple University School Of Medicine (1987).

NPPES Registry Identity

NPI1063521631
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KENNETH L GROTZCredential: MD
Location Address3651 WHEELER ROADAugusta, GA 30909
Mailing AddressP.o. Box 3638, 1125 Troupe StreetAugusta, GA 30914-3638 · (706) 737-4575 · Fax (706) 731-5289
Phone(706) 651-2369
Fax(706) 651-2364
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1987
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 4, 2007
✔ NPI 1063521631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in GA · 037820
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 037820 (GA)
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 037820 (GA)
Also ListedEmergency Medicine · Sports MedicineTaxonomy 207PS0010X · License 037820 (GA)
Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License 037820 (GA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 037820 (GA)
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 037820 (GA)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 037820 (GA)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 037820 (GA)
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 037820 (GA)
3651 WHEELER ROAD, Augusta, GA 30909
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Other Identifiers 8

MedicaidG38834SC
Other1447352778Npi - Csra Emergency Phys
Medicare UPINE52978
Medicare PIN93BDVHGGA
Other10062882Amerigroup
Other345518Wellcare Of Ga
Medicaid00568235EGA
Other4370409Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth L Grotz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618052945
PECOS Enrollment IDI20080311000555
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
157 services134 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
137 services131 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
69 services69 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
46 services45 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
43 services43 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
38 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110089
Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN STANLEY OESTER MD
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Richmond County (706) 651-2369
DR. ROBERT WEBB JR. MD
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Richmond County (706) 651-2369
DR. TRICIA-MAY VILLANUEVA HARRIS M.D.
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Richmond County (706) 651-2369
CSRA EMERGENCY PHYSICIANS, PC
Emergency Medicine
3651 WHEELER ROAD, ER DEPT.
AUGUSTA, GA 30909
Richmond County (706) 651-2369
DR. TROY P COON MD
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Richmond County (706) 651-2369
DR. WILLIAM MARK NEWTON MD
Emergency Medicine
3651 WHEELER ROAD
AUGUSTA, GA 30909
Richmond County (706) 651-2369
ALYSON LAMB
Nurse Anesthetist, Certified Registered
3651 WHEELER ROAD
AUGUSTA, GA 30909
Richmond County (706) 830-1025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Grotz's NPI number?

The NPI number for Kenneth Grotz is 1063521631. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Kenneth Grotz located?

Kenneth Grotz practices at 3651 Wheeler Road, Augusta, GA 30909. The listed phone number is (706) 651-2369.

What is Kenneth Grotz's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kenneth Grotz enrolled in Medicare?

Yes. Kenneth Grotz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Grotz accept?

Health plans from Alliant Health Plans, Inc. list Kenneth Grotz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Grotz affiliated with any hospitals?

According to CMS data, Kenneth Grotz is affiliated with Coffee Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Kenneth Grotz was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.