SHAWN SPENCER GROTH M.D.
NPI 1073657235
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Houston, TX

Q: What is Shawn Groth's NPI number?

The NPI number for Shawn Groth is 1073657235. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Q: What is Shawn Groth's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Groth was last updated on November 13, 2020. 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.

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment

91.34/100

CMS Quality Rating

6620 MAIN ST, BAYLOR CLINIC 1325, HOUSTON, TX 77030(713) 798-6376(713) 798-8131 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shawn Spencer Groth M.d. NPPES

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

SHAWN SPENCER GROTH M.D. (NPI 1073657235) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Houston, Texas, licensed in Texas (Q2138) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Minnesota Medical School (2003).

NPPES Registry Identity

NPI1073657235

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameSHAWN SPENCER GROTHCredential: M.D.

Location Address6620 MAIN ST, BAYLOR CLINIC 1325Houston, TX 77030-2348

Mailing Address6620 Main St, Baylor Clinic 1325Houston, TX 77030-2348 · (713) 798-6376 · Fax (713) 798-8131

Phone(713) 798-6376

Fax(713) 798-8131

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2003

Enumeration DateFebruary 19, 2007

Last NPPES UpdateNovember 13, 2020

NPPES CertifiedNovember 13, 2020

✔ NPI 1073657235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in TX · Q2138✔ Licensed in PA · MD448650

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X · License 48631 (MN)

6620 MAIN ST, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.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

Shawn Spencer Groth M.d. 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 ID7618075086

PECOS Enrollment IDI20141027001479

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 7

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.

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.

66 services53 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

27 services18 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.

21 services21 patients

Review by radiologist of image to guide opening of digestive tract 74360

This procedure involves a radiologist examining an image of your digestive tract. The image helps the radiologist determine the best way to open your digestive tract, if necessary. This is done to diagnose or treat certain conditions. It's a common, safe procedure.

19 services12 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450193

Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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

$176.98 typical visit price

range $58.24 – $176.98

Typical copayment $44.24 (range $14.56 – $44.24)

Most-billed visit code 99205

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

91.34/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.64

Promoting Interoperability

89.13

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. SRIKANTH KONERU M.D., CARDIOLOGY

Internal Medicine (Cardiovascular Disease)

6620 MAIN ST
HOUSTON, TX 77030

Harris County (713) 798-1000

BAYLOR COLLEGE OF MEDICINE

Orthopaedic Surgery

6620 MAIN ST, SUITE 1325
HOUSTON, TX 77030

Harris County (713) 986-6024

GUILHERME GODOY MD

Urology

6620 MAIN ST, SUITE 1325, MS BCM380
HOUSTON, TX 77030

Harris County (713) 798-5628

JOHN FARMER MD

Internal Medicine (Cardiovascular Disease)

6620 MAIN ST
HOUSTON, TX 77030

Harris County (713) 798-2545

KJERSTI MARIE AAGAARD-TILLERY MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030

Harris County (713) 798-7500

DR. RONALD TIMOTHY COTTON MD

Transplant Surgery

6620 MAIN ST, SUITE 1450
HOUSTON, TX 77030

Harris County (832) 355-1400

DR. MARCUS K HOFFMAN MD

Surgery (Surgical Critical Care)

6620 MAIN ST, SUITE 1350
HOUSTON, TX 77030

Harris County (713) 798-2262

JOHN M. VIERLING MD

Internal Medicine (Gastroenterology)

6620 MAIN ST
HOUSTON, TX 77030

Harris County (713) 798-2500

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 Shawn Groth's NPI number?

The NPI number for Shawn Groth is 1073657235. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Shawn Groth located?

Shawn Groth practices at 6620 Main St Baylor Clinic 1325, Houston, TX 77030. The listed phone number is (713) 798-6376.

What is Shawn Groth's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Shawn Groth enrolled in Medicare?

Yes. Shawn Groth 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 Shawn Groth accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and UnitedHealthcare and 1 other insurer list Shawn Groth 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 Shawn Groth affiliated with any hospitals?

According to CMS data, Shawn Groth is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Shawn Groth was last updated on November 13, 2020. 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.