SALLY MARGARET GROGONO MD
NPI 1437146263
Obstetrics & Gynecology in Austin, TX

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1301 W 38TH ST, SUITE 300, AUSTIN, TX 78705(512) 454-5721(512) 454-2801 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sally Margaret Grogono Md NPPES

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

SALLY MARGARET GROGONO MD (NPI 1437146263) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (K7162) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1995).

NPPES Registry Identity

NPI1437146263
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSALLY MARGARET GROGONOCredential: MD
Location Address1301 W 38TH ST, SUITE 300Austin, TX 78705-1000
Mailing Address1301 W 38th St, Suite 300Austin, TX 78705-1000 · (512) 454-5721 · Fax (512) 454-2801
Fax(512) 454-2801
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1995
Enumeration DateOctober 6, 2005
Last NPPES UpdateMay 15, 2014
✔ NPI 1437146263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · K7162
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1301 W 38TH ST, Austin, TX 78705

Other Identifiers 2

Medicaid043090203TX
Medicare UPINH04116TX

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sally Margaret Grogono 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 ID5890857916
PECOS Enrollment IDI20101013001193
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 Reassignment

Medicare enrollment records show Sally Grogono reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group

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 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
24 services24 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.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Reported Quality Measures

Cervical Cancer Screening
84%123 patients4/55-star benchmark: 98%
e-Prescribing
100%896 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
49%65 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
60%144 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 20% · 74 patients
20%74 patients
Provide Patients Electronic Access to Their Health Information
98%918 patients4/55-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.

Specialist
1301 W 38TH ST, SUITE 601
AUSTIN, TX 78705
Internal Medicine (Cardiovascular Disease)
1301 W 38TH ST, SUITE 705
AUSTIN, TX 78705
Orthopaedic Surgery
1301 W 38TH ST, STE 102
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST, SUITE 300
AUSTIN, TX 78705
Social Worker (Clinical)
1301 W 38TH ST
AUSTIN, TX 78705
Internal Medicine (Interventional Cardiology)
1301 W 38TH ST, SUITE 400
AUSTIN, TX 78705
Internal Medicine (Infectious Disease)
1301 W 38TH ST, SUITE 403
AUSTIN, TX 78705
Internal Medicine
1301 W 38TH ST, #205
AUSTIN, TX 78705

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 Sally Grogono's NPI number?

The NPI number for Sally Grogono is 1437146263. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Sally Grogono located?

Sally Grogono practices at 1301 W 38th St Suite 300, Austin, TX 78705. The listed phone number is (512) 454-5721.

What is Sally Grogono's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Sally Grogono enrolled in Medicare?

Yes. Sally Grogono 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.

Which organization bills Medicare for Sally Grogono's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Grogono reassigns Medicare benefits to Seton Family Of Doctors (Austin, TX). The 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 Sally Grogono's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Grogono accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Sally Grogono 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 Sally Grogono was last updated on May 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.