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DR. JOHN R GROLL M.D.
NPI 1396716163
Internal Medicine - Cardiovascular Disease in Chester, IL

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
1900 STATE ST, CHESTER, IL 62233(618) 826-4581(318) 826-5152 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John R Groll M.d. NPPES

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

DR. JOHN R GROLL M.D. (NPI 1396716163) is an individual cardiovascular disease provider in Chester, Illinois, licensed in Illinois (036-094904) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1988).

NPPES Registry Identity

NPI1396716163
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. JOHN R GROLLCredential: M.D.
Location Address1900 STATE STChester, IL 62233-1116
Mailing Address1028 S Kirkwood Rd Ste AKirkwood, MO 63122-7222 · (314) 441-5609 · Fax (314) 288-0519
Phone(618) 826-4581
Fax(318) 826-5152
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1396716163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036-094904
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.
Also ListedSpecialistTaxonomy 174400000X · License R8J11 (MO)
1900 STATE ST, Chester, IL 62233
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. John R Groll 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 ID9133033905
PECOS Enrollment IDI20031117000133
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 7

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.
76 services53 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.
46 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
25 services16 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.
21 services15 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Critical Access Hospitals · Chester, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141338
Location1900 State StChester, IL 62233 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62233 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
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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 20

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

CHERYL L SAUERHAGE
Physical Therapist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4588
JASON DEAN ROY PT
Physical Therapist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4588
STOKES INSTITUTE OF UROLOGY
Specialist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4581
BRETT PRYWITCH
Radiology (Diagnostic Radiology)
1900 STATE ST, CHESTER MEMORIAL HOSPITAL
CHESTER, IL 62233
Randolph County (618) 826-4581
CHESTER MEDICAL GROUP LLC
Specialist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4581
DEBRA KAY ROHLFING MOT, OTR/L, CLT
Occupational Therapist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-4581
DR. JAMES RAYMOND KIRKPATRICK M.D., PH.D.
Family Medicine
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-2388
KATHLEEN ANN WINKLER RPH
Pharmacist
1900 STATE ST
CHESTER, IL 62233
Randolph County (618) 826-6134

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 John Groll's NPI number?

The NPI number for John Groll is 1396716163. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is John Groll located?

John Groll practices at 1900 State St, Chester, IL 62233. The listed phone number is (618) 826-4581.

What is John Groll's specialty?

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

Is John Groll enrolled in Medicare?

Yes. John Groll 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 John Groll accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list John Groll 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 John Groll affiliated with any hospitals?

According to CMS data, John Groll is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Groll was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.