DR. SEAN PATRICK GROARK M.D.
NPI 1235109737
Internal Medicine - Cardiovascular Disease in Huntsville, AL

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.33/100
CMS Quality Rating
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801(256) 539-4080(256) 539-4099 Get Directions Write a Review

NPPES record last updated: June 8, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sean Patrick Groark M.d. NPPES

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

DR. SEAN PATRICK GROARK M.D. (NPI 1235109737) is an individual cardiovascular disease provider in Huntsville, Alabama, licensed in Alabama (18768) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (1989).

NPPES Registry Identity

NPI1235109737
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SEAN PATRICK GROARKCredential: M.D.
Location Address930 FRANKLIN ST SEHuntsville, AL 35801-4312
Mailing Address930 Franklin St SeHuntsville, AL 35801-4312 · (256) 539-4080 · Fax (256) 539-4099
Fax(256) 539-4099
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1989
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJune 8, 2010
NPI 1235109737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in AL · 18768
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
930 FRANKLIN ST SE, Huntsville, AL 35801

Other Identifiers 23

Other51049407AL · Bcbs
Medicaid111470AL
Other51049241AL · Bcbs
Medicaid111468AL
Medicare UPINF23553
Medicaid000033803AL
Medicare PIN102I062852AL
Other51049242AL · Bcbs
Other51033803AL · Bcbs
Other4624195Aetna
Other51049243AL · Bcbs
Medicaid111846AL
Medicare PIN3854648TN
Medicaid111888AL
Other3035375TN · Bcbs
Medicaid111891AL
Other51598608AL · Bcbs
Other060037254Railroad Medicare
Other51049408AL · Bcbs
Other25-10051United Healthcare
Medicaid111844AL
Medicare PIN000033803AL
OtherP00744666AL · Railroad Medicare

Accepted 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. Sean Patrick Groark 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 ID7012806912
PECOS Enrollment IDI20040310001304
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 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
889 services659 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.
618 services462 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
277 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
109 services62 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.
96 services92 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
76 services75 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

84.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.96
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.

Nurse Practitioner (Acute Care)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Cardiovascular Disease)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Nurse Practitioner (Acute Care)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Cardiovascular Disease)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Clinical Nurse Specialist (Acute Care)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Nurse Practitioner (Family)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Internal Medicine (Cardiovascular Disease)
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801
Nurse Practitioner
930 FRANKLIN ST SE
HUNTSVILLE, AL 35801

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 Sean Groark's NPI number?

The NPI number for Sean Groark is 1235109737. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Sean Groark located?

Sean Groark practices at 930 Franklin St SE, Huntsville, AL 35801. The listed phone number is (256) 539-4080.

What is Sean Groark's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sean Groark enrolled in Medicare?

Yes. Sean Groark 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 Sean Groark accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Sean Groark 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.

When was this NPI record last updated?

The NPPES record for Sean Groark was last updated on June 8, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.