DR. DAVID L. GRODEN M.D.
NPI 1275575276
Internal Medicine - Cardiovascular Disease in Brookfield, WI

Q: What is David Groden's NPI number?

The NPI number for David Groden is 1275575276. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is David Groden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Groden was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 12, 2006PECOS Enrolled

16650 W BLUEMOUND RD, SUITE 200, BROOKFIELD, WI 53005(262) 827-9200(262) 827-9858 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. David L. Groden M.d. NPPES

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

DR. DAVID L. GRODEN M.D. (NPI 1275575276) is an individual cardiovascular disease provider in Brookfield, Wisconsin, licensed in Wisconsin (31054) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275575276

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. DAVID L. GRODENCredential: M.D.

Location Address16650 W BLUEMOUND RD, SUITE 200Brookfield, WI 53005-5920

Mailing Address16650 W Bluemound Rd, Suite 200Brookfield, WI 53005-5920 · (262) 827-9200 · Fax (262) 827-9858

Phone(262) 827-9200

Fax(262) 827-9858

Sole ProprietorNo

Enumeration DateJune 12, 2006

Last NPPES UpdateSeptember 15, 2015

✔ NPI 1275575276 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 WI · 31054

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.

16650 W BLUEMOUND RD, Brookfield, WI 53005

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Other Identifiers 4

Medicaid31605700WI

Medicare PIN685900015WI

Medicare PIN013630016WI

Medicare UPINE68428

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David L. Groden M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show David Groden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical College Of Wisconsin, Inc.

5.0 mi

Internal Medicine

8701 WATERTOWN PLANK RD
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
3,983 clinicians in this Medicare group

NPI 1699720086 (414) 955-7101

Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.

8.7 mi

Internal Medicine

W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051

Reassigned Medicare billing, Wisconsin enrollment
2,294 clinicians in this Medicare group

NPI 1568787448 (262) 255-2500

Ascension Medical Group-Southeast Wisconsin Inc

11 mi

Internal Medicine

400 W RIVER WOODS PKWY
Glendale, WI 53212

Reassigned Medicare billing, Wisconsin enrollment
1,343 clinicians in this Medicare group

NPI 1609881077 (414) 465-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

182 services173 patients

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.

156 services135 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.

132 services130 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.

79 services79 patients

Injection, octafluoropropane microspheres, per ml Q9956

Octafluoropropane microspheres injection is a procedure where tiny gas-filled bubbles are injected into your bloodstream. These bubbles help improve the quality of ultrasound images by enhancing the contrast, aiding in the detection and diagnosis of certain conditions.

39 services13 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

27 services27 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

21 services21 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

18 services18 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

18 services18 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

18 services18 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

17 services17 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services14 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

15 services12 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53005 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 9

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

DR. TIMOTHY R. HESS M.D.

Internal Medicine (Cardiovascular Disease)

16650 W BLUEMOUND RD, SUITE 200
BROOKFIELD, WI 53005

Waukesha County (262) 827-9200

WISCONSIN HEART GROUP

Internal Medicine (Cardiovascular Disease)

16650 W BLUEMOUND RD, SUITE 200
BROOKFIELD, WI 53005

Waukesha County (262) 827-9200

DR. DAVID E ENGLE M.D.

Internal Medicine (Interventional Cardiology)

16650 W BLUEMOUND RD, SUITE 200
BROOKFIELD, WI 53005

Waukesha County (262) 827-9200

MARIE THERESE USTRUCK FNP

Nurse Practitioner

16650 W BLUEMOUND RD
BROOKFIELD, WI 53005

Waukesha County (414) 777-3754

WISCONSIN HEART GROUP ASSOCIATES LLC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

16650 W BLUEMOUND RD, SUITE 200
BROOKFIELD, WI 53005

Waukesha County (262) 827-9200

DR. CHARLES F. REUBEN M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

16650 W BLUEMOUND RD, SUITE 200
BROOKFIELD, WI 53005

Waukesha County (262) 827-9200

ACCESS ENDODONTICS LLC

Dentist (Endodontics)

16650 W BLUEMOUND RD, 400
BROOKFIELD, WI 53005

Waukesha County (262) 782-2227

DR. LANCE KOJI HASHIMOTO DDS, MS

Dentist (Endodontics)

16650 W BLUEMOUND RD, 400
BROOKFIELD, WI 53005

Waukesha County (262) 782-2277

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 David Groden's NPI number?

The NPI number for David Groden is 1275575276. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is David Groden located?

David Groden practices at 16650 W Bluemound Rd Suite 200, Brookfield, WI 53005. The listed phone number is (262) 827-9200.

What is David Groden's specialty?

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

Is David Groden enrolled in Medicare?

Yes. David Groden is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for David Groden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Groden reassigns Medicare benefits to 3 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Groden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Groden was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.