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MARK S GROGAN MD
NPI 1306909379
Internal Medicine - Interventional Cardiology in Derby, CT

Active since December 19, 2006PECOS Enrolled
84.47/100
CMS Quality Rating
130 DIVISION STREET, DERBY, CT 06418(203) 732-7455(203) 735-5507 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark S Grogan Md NPPES

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

MARK S GROGAN MD (NPI 1306909379) is an individual interventional cardiology provider in Derby, Connecticut, licensed in Connecticut (026818) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306909379
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMARK S GROGANCredential: MD
Location Address130 DIVISION STREETDerby, CT 06418
Mailing AddressPo Box 354Derby, CT 06418 · (203) 732-7455 · Fax (203) 735-5507
Phone(203) 732-7455
Fax(203) 735-5507
Sole ProprietorNo
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306909379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in CT · 026818
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

130 DIVISION STREET, Derby, CT 06418
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Other Identifiers 1

Medicare UPINB37901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark S Grogan Md 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.

Areas of Expertise CMS Part B claims 6

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.
405 services258 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.
147 services102 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.
123 services88 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.
51 services50 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.
29 services17 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.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability100
Improvement Activities40
Cost59.59

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%146 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MUHAMMAD HUZAIFA JAVAID MD
Student in an Organized Health Care Education/Training Program
130 DIVISION STREET
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7327
THOMAS HEFFERNAN MS
Counselor
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7550
MOHSIN ALI M.D.
Internal Medicine
130 DIVISION STREET
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7327
BROOKE LILLIE MA
Counselor (Mental Health)
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7550
MARY MASCOLO PELLITTERI LADC
Counselor (Addiction (Substance Use Disorder))
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-7550
EARL LEWIN BAKER MD
Internal Medicine
130 DIVISION STREET
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 735-7421
SUNRISE MED LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
130 DIVISION STREET
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 872-2131
COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC
Pain Medicine (Interventional Pain Medicine)
130 DIVISION STREET
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 732-1570

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 Mark Grogan's NPI number?

The NPI number for Mark Grogan is 1306909379. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Mark Grogan located?

Mark Grogan practices at 130 Division Street, Derby, CT 06418. The listed phone number is (203) 732-7455.

What is Mark Grogan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mark Grogan enrolled in Medicare?

Yes. Mark Grogan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Grogan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.