TIMOTHY D GROTH M.D.
NPI 1093742272
Anesthesiology - Pain Medicine in Smithtown, NY

Active since June 26, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA Certified · 7 labs
85.89/100
CMS Quality Rating
994 W JERICHO TPKE, SUITE 104, SMITHTOWN, NY 11787(631) 543-1440(631) 543-1930 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy D Groth M.d. NPPES

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

TIMOTHY D GROTH M.D. (NPI 1093742272) is an individual pain medicine provider in Smithtown, New York, licensed in New York (158610) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, holds 7 active CLIA laboratory certificates, and is affiliated with North Shore University Hospital.

NPPES Registry Identity

NPI1093742272
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameTIMOTHY D GROTHCredential: M.D.
Location Address994 W JERICHO TPKE, SUITE 104Smithtown, NY 11787-3235
Mailing Address994 W Jericho Tpke, Suite 104Smithtown, NY 11787-3235 · (631) 543-1440 · Fax (631) 543-1930
Fax(631) 543-1930
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1983
Enumeration DateJune 26, 2006
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
NPI 1093742272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in NY · 158610
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

994 W JERICHO TPKE, Smithtown, NY 11787

Other Identifiers 1

Medicaid01491318NY

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

Timothy D 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 ID7618998501
PECOS Enrollment IDI20051207000402
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.

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2336675

Timothy D Groth MD PC · Port Jefferson Station, NY
Active · expires Jan 7, 2028
CLIA Number33D2336675
Laboratory TypePhysician Office
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorTimothy D. Groth
Laboratory Phone(631) 543-1440
Laboratory LocationTimothy D Groth MD PC410 Hallock Ave, Port Jefferson Station, NY 11776
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2331794

Timothy D Groth MD PC · Rockville Centre, NY
Active · expires Oct 7, 2027
CLIA Number33D2331794
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDr. Timothy D. Groth
Laboratory Phone(631) 543-1440
Laboratory LocationTimothy D Groth MD PC100 North Centre Suite 302, Rockville Centre, NY 11570
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2331798

Timothy D Groth MD PC · Farmingdale, NY
Active · expires Oct 7, 2027
CLIA Number33D2331798
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDr. Timothy D. Groth
Laboratory Phone(631) 543-1440
Laboratory LocationTimothy D Groth MD PC1111 Broadhollow Road Suite 114, Farmingdale, NY 11735
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2020630

Timothy D Groth MD PC · Smithtown, NY
Active · expires Feb 23, 2027
CLIA Number33D2020630
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorDr. Timothy D. Groth
Laboratory Phone(631) 543-1440
Laboratory LocationTimothy D Groth MD PC994 West Jericho Turnpike Ste 104, Smithtown, NY 11787
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2317328

Timothy D Groth MD PC · Patchogue, NY
Active · expires Jan 21, 2027
CLIA Number33D2317328
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorDr. Timothy D. Groth
Laboratory Phone(631) 543-1440
Laboratory LocationTimothy D Groth MD PC285 Sills Road Suite 9d, Patchogue, NY 11772
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2314840

Timothy D Groth MD PC · Mineola, NY
Active · expires Dec 1, 2026
CLIA Number33D2314840
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorDr. Timothy D. Groth
Laboratory Phone(631) 543-1440
Laboratory LocationTimothy D Groth MD PC184 Old Country Road, Mineola, NY 11501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 54

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
5,640 services1,527 patients
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg J7320
Genvisc 850 is an injection containing hyaluronan, a substance naturally found in your joints. It helps to lubricate and cushion your joints. This treatment is used to relieve knee pain due to osteoarthritis when other treatments have not worked.
5,175 services51 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
3,966 services1,843 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
2,695 services1,530 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
1,531 services572 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
1,489 services799 patients

Hospital Affiliations CMS Care Compare 4

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

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.

85.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost52.98

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier192 claims192 services$655.21 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0651
DME-Orthotic Devices · category DF007N
1 supplier179 claims179 services$657.45 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier12 claims14 services$446.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Dermatology (MOHS-Micrographic Surgery)
994 W JERICHO TPKE, SUITE 103
SMITHTOWN, NY 11787
Dermatology (MOHS-Micrographic Surgery)
994 W JERICHO TPKE, SUITE 103
SMITHTOWN, NY 11787
Nurse Practitioner (Adult Health)
994 W JERICHO TPKE, SUITE 201
SMITHTOWN, NY 11787
Psychiatry & Neurology (Psychiatry)
994 W JERICHO TPKE, SUITE 202
SMITHTOWN, NY 11787
Physician Assistant
994 W JERICHO TPKE, SUITE 202
SMITHTOWN, NY 11787
Dermatology (Procedural Dermatology)
994 W JERICHO TPKE, SUITE 103
SMITHTOWN, NY 11787
Plastic Surgery
994 W JERICHO TPKE
SMITHTOWN, NY 11787
Psychologist (Clinical)
994 W JERICHO TPKE, SUITE 202
SMITHTOWN, NY 11787

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093742272, enumerated as an "individual" on June 26, 2006.

The provider is located at 994 W JERICHO TPKE SUITE 104 SMITHTOWN, NY 11787 and the phone number is (631) 543-1440.

Anesthesiology with taxonomy code 207LP2900X and a focus in Pain Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Timothy Groth is affiliated with: NORTH SHORE UNIVERSITY HOSPITAL, LONG ISLAND JEWISH MEDICAL CENTER, ST CHARLES HOSPITAL and SUNY/STONY BROOK UNIVERSITY HOSPITAL.