HEATHER GROTHE MD
NPI 1245598275
Family Medicine - Sports Medicine in Duluth, MN

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment
1000 E 1ST ST STE 400, DULUTH, MN 55805(218) 722-5513 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Dec 20, 2016 (2 updates tracked since 2016).

About Heather Grothe Md NPPES

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

HEATHER GROTHE MD (NPI 1245598275) is an individual sports medicine provider in Duluth, Minnesota, licensed in Minnesota (56562) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with University Medical Center-mesabi/ Mesaba Clinics, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1245598275
Entity TypeIndividualFemale
Primary Taxonomy207QS0010X
Provider Legal NameHEATHER GROTHECredential: MD
Location Address1000 E 1ST ST STE 400Duluth, MN 55805-2297
Mailing Address1000 E 1st St Ste 400Duluth, MN 55805-2297 · (218) 722-5513
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012
Enumeration DateApril 27, 2012
Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1245598275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in MN · 56562
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1000 E 1ST ST STE 400, Duluth, MN 55805

Secondary Practice Location 1

Location 11414 Maryland Ave ESaint Paul, MN 55106-2824 · Phone (651) 772-3461

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

Heather Grothe 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 ID4082855622
PECOS Enrollment IDI20130724000993
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 3

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
145 services26 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
19 services17 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center-Mesabi/ Mesaba Clinics

Acute Care Hospitals · Hibbing, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number240040
Location750 East 34th StHibbing, MN 55746 · St. Louis County
Birthing friendly

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Podiatrist (Foot & Ankle Surgery)
1000 E 1ST ST STE 400
DULUTH, MN 55805
Physical Therapist
1000 E 1ST ST STE 400
DULUTH, MN 55805
Physician Assistant (Surgical)
1000 E 1ST ST STE 400
DULUTH, MN 55805
Specialist/Technologist (Athletic Trainer)
1000 E 1ST ST STE 400
DULUTH, MN 55805
Occupational Therapist
1000 E 1ST ST STE 400
DULUTH, MN 55805
Physical Therapist
1000 E 1ST ST STE 400
DULUTH, MN 55805

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 Heather Grothe's NPI number?

The NPI number for Heather Grothe is 1245598275. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Where is Heather Grothe located?

Heather Grothe practices at 1000 E 1st St Ste 400, Duluth, MN 55805. The listed phone number is (218) 722-5513.

What is Heather Grothe's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Heather Grothe enrolled in Medicare?

Yes. Heather Grothe 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 Heather Grothe accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Heather Grothe 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 Heather Grothe affiliated with any hospitals?

According to CMS data, Heather Grothe is affiliated with University Medical Center-Mesabi/ Mesaba Clinics, St Lukes Hospital and Essentia Health Virginia.

When was this NPI record last updated?

The NPPES record for Heather Grothe was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.