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KATE GROGAN M.D.
NPI 1225263999
Pathology - Anatomic Pathology & Clinical Pathology in Columbus, OH

Active since May 23, 2009PECOS EnrolledAccepts Medicare Assignment
83.29/100
CMS Quality Rating
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-4945 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Mar 17, 2017 (2 updates tracked since 2017).

About Kate Grogan M.d. NPPES

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

KATE GROGAN M.D. (NPI 1225263999) is an individual anatomic pathology & clinical pathology provider in Columbus, Ohio, licensed in Ohio (35.131575) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Loma Linda University School Of Medicine (2009).

NPPES Registry Identity

NPI1225263999
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameKATE GROGANCredential: M.D.
Location Address3535 OLENTANGY RIVER RDColumbus, OH 43214-3908
Mailing Address4619 Kenny Rd, Corpath - CredColumbus, OH 43220-2779 · (614) 457-8180
Phone(614) 566-4945
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2009
Enumeration DateMay 23, 2009
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1225263999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in OH · 35.131575
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 35.131575 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3535 OLENTANGY RIVER RD, Columbus, OH 43214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kate Grogan 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 ID648589598
PECOS Enrollment IDI20170615002034
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 2

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.

Blood bank physician services with written report 86079
A blood bank physician service involves a specialized doctor overseeing all aspects of blood collection, storage, and transfusion. They ensure the process is safe and effective. A written report details all procedures and findings for your reference and understanding.
55 services54 patients
Blood bank physician services for investigation of transfusion reaction with written report 86078
This service involves a blood bank doctor examining a patient's reaction to a blood transfusion. The doctor will conduct tests to identify the cause and provide a written report detailing the findings and recommendations for future care.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

83.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.34
Improvement Activities40

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. ROBERT BRIGDEN HALPIN D.O.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4378
PAYTON JOY
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
BRENNON PINION DNP, CRNA
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
CATHERINE LEE PELFREY PA-C
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-5000
NICHOLAS T WONGCHAOWART M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT
COLUMBUS, OH 43214
Franklin County (614) 566-4945
LISA CHRISTINE NOVAK CRNA
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4919
KAITLYN N NEWKIRK CRNA
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 566-4919
RIVERSIDE METHODIST HOSPITAL
Medicare Defined Swing Bed Unit
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Franklin County (614) 322-3202

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 Kate Grogan's NPI number?

The NPI number for Kate Grogan is 1225263999. It was assigned to this individual provider in the NPPES registry on May 23, 2009.

Where is Kate Grogan located?

Kate Grogan practices at 3535 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-4945.

What is Kate Grogan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Kate Grogan enrolled in Medicare?

Yes. Kate 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 Kate Grogan accept?

Health plans from CareSource list Kate 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 Kate Grogan affiliated with any hospitals?

According to CMS data, Kate Grogan is affiliated with Riverside Methodist Hospital, Marion General Hospital, Grant Medical Center, Grady Memorial Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Kate Grogan was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.