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DR. RAYMON GROGAN MD
NPI 1124215074
Surgery in San Francisco, CA

Active since September 25, 2007PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1600 DIVISADERO ST # C347, BOX 1674, SAN FRANCISCO, CA 94115(415) 885-7205 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2024, Nov 13, 2020 (2 updates tracked since 2020).

About Dr. Raymon Grogan Md NPPES

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

DR. RAYMON GROGAN MD (NPI 1124215074) is an individual surgery provider in San Francisco, California, licensed in Texas (S3980) and active in the NPI registry since September 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 Miami, Lm Miller School Of Medicine (2002).

NPPES Registry Identity

NPI1124215074
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RAYMON GROGANCredential: MD
Location Address1600 DIVISADERO ST # C347, BOX 1674San Francisco, CA 94115-3066
Mailing AddressOne Baylor Plaza, Ms: Bcm 390Houston, TX 77030 · (713) 798-2788
Phone(415) 885-7205
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2002
Enumeration DateSeptember 25, 2007
Last NPPES UpdateMay 3, 20242 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1124215074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TX · S3980✔ Licensed in CA · A96280✔ Licensed in TX · 46258
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License S3980 (TX)
1600 DIVISADERO ST # C347, San Francisco, CA 94115
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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

Dr. Raymon Grogan 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 ID9739212663
PECOS Enrollment IDI20180208002805
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 6

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.

Review by radiologist of imaging guidance for removal of blood sample 75893
This procedure involves a radiologist using medical imaging technology, such as ultrasound or CT scan, to guide the process of removing a blood sample. This ensures the needle is correctly placed for safe and efficient blood draw.
110 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
56 services56 patients
Ultrasonic guidance during surgery 76998
Ultrasonic guidance during surgery is a technique that uses sound waves to create real-time images of the inside of your body. This helps the surgeon navigate and perform procedures more accurately, reducing the risk of complications. It's like a GPS for your body's internal structures.
48 services48 patients
Insertion of tube into vein with collection of blood sample 36500
This procedure involves placing a small tube into a vein, commonly in the arm, to collect a blood sample. The process is quick and typically causes minor discomfort. The blood sample is then checked in a lab to help diagnose health conditions.
36 services36 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 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 94115 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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 Raymon Grogan's NPI number?

The NPI number for Raymon Grogan is 1124215074. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Raymon Grogan located?

Raymon Grogan practices at 1600 Divisadero St # C347 Box 1674, San Francisco, CA 94115. The listed phone number is (415) 885-7205.

What is Raymon Grogan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Raymon Grogan enrolled in Medicare?

Yes. Raymon Grogan 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 Raymon Grogan 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 Raymon Grogan 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 Raymon Grogan affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Raymon Grogan was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.