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DR. BENJAMIN RANDALL GROTH O.D.
NPI 1073008314
Optometrist in Omaha, NE

Active since June 28, 2018PECOS Enrolled
85.73/100
CMS Quality Rating
6751 N 72ND ST STE 105, OMAHA, NE 68122(402) 572-2020(402) 572-2150 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, Sep 16, 2019, Jun 28, 2018 (3 updates tracked since 2018).

About Dr. Benjamin Randall Groth O.d. NPPES

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

DR. BENJAMIN RANDALL GROTH O.D. (NPI 1073008314) is an individual optometrist in Omaha, Nebraska, licensed in Nebraska (1530) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1073008314
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BENJAMIN RANDALL GROTHCredential: O.D.
Location Address6751 N 72ND ST STE 105Omaha, NE 68122-1746
Mailing Address6751 N 72nd St Ste 105Omaha, NE 68122-1746 · (402) 572-2020 · Fax (402) 572-2150
Phone(402) 572-2020
Fax(402) 572-2150
Sole ProprietorNo
Enumeration DateJune 28, 2018
Last NPPES UpdateMay 19, 20213 updates tracked since enumeration
NPPES CertifiedApril 6, 2021
✔ NPI 1073008314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NE · 1530✔ Licensed in IA · 091798
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6751 N 72ND ST STE 105, Omaha, NE 68122
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11540 Spring Valley DrHuntington, WV 25704-9300 · Phone (304) 429-6741
Location 26751 N 72nd St Ste 105Omaha, NE 68122-1746 · Phone (402) 572-2020
Location 3576 Boyson Rd NE Ste 104Cedar Rapids, IA 52402 · Phone (319) 373-3737

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Benjamin Randall Groth O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68122 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES 2

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

ALYSSA ANN CALTA OD
Optometrist
6751 N 72ND ST STE 105
OMAHA, NE 68122
Douglas County (402) 572-2020
TYLER R JEVNE OD
Optometrist
6751 N 72ND ST STE 105
OMAHA, NE 68122
Douglas County (402) 572-2020

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 Benjamin Groth's NPI number?

The NPI number for Benjamin Groth is 1073008314. It was assigned to this individual provider in the NPPES registry on June 28, 2018.

Where is Benjamin Groth located?

Benjamin Groth practices at 6751 N 72nd St Ste 105, Omaha, NE 68122. The listed phone number is (402) 572-2020.

What is Benjamin Groth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Benjamin Groth enrolled in Medicare?

Yes. Benjamin Groth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Groth was last updated on May 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.