MR. SEBASTIAN ORION GROOT D.O.
NPI 1194251249
Family Medicine in Berkeley, CA

Q: What is Sebastian Groot's NPI number?

The NPI number for Sebastian Groot is 1194251249. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Sebastian Groot's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Sebastian Groot was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment

3100 SAN PABLO AVE # 310, BERKELEY, CA 94702(510) 985-5020 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2021, Nov 12, 2019, May 11, 2017 (3 updates tracked since 2017).

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About Mr. Sebastian Orion Groot D.o. NPPES

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

MR. SEBASTIAN ORION GROOT D.O. (NPI 1194251249) is an individual family medicine provider in Berkeley, California, licensed in California (20A16750) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1194251249

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. SEBASTIAN ORION GROOTCredential: D.O.

Location Address3100 SAN PABLO AVE # 310Berkeley, CA 94702-2498

Mailing Address1450 Treat Blvd # 300Walnut Creek, CA 94597-2168 · (925) 952-2828 · Fax (925) 952-2850

Phone(510) 985-5020

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 11, 2017

Last NPPES UpdateMarch 10, 20213 updates tracked since enumeration

NPPES CertifiedMarch 10, 2021

✔ NPI 1194251249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · 20A16750

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3100 SAN PABLO AVE # 310, Berkeley, CA 94702

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Secondary Practice Locations 2

Location 11450 Treat Blvd # 160Walnut Creek, CA 94597-2168 · Phone (925) 952-2828

Location 21450 Treat Blvd Ste 320Walnut Creek, CA 94597-2168 · Phone (925) 296-9880

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

Mr. Sebastian Orion Groot D.o. 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 ID42542961

PECOS Enrollment IDI20191025002373

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 13

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 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.

530 services225 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.

173 services110 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

104 services104 patients

Osteopathic manipulative treatment, 5-6 body regions 98927

Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose, treat, and prevent illness or injury. In a 5-6 body regions OMT, the doctor applies techniques on those areas to enhance your body's natural healing process.

101 services24 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

40 services39 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

31 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

20 services18 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Osteopathic manipulative treatment, 1-2 body regions 98925

Osteopathic Manipulative Treatment (OMT) is a hands-on method where doctors use their hands to diagnose and treat illnesses. For 1-2 body regions, the doctor focuses on specific areas like your back or neck, using techniques to alleviate pain, restore function, and promote healing.

13 services12 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

13 services11 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

12 services11 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94702 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

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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Other Providers at the Same Location NPPES 6

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

AUDREY DANDREA MD

Family Medicine