DR. KENT A GROTEFENDT MD
NPI 1467439026
Family Medicine in Ooltewah, TN

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
6401 MOUNTAIN VIEW ROAD, SUITE 109, OOLTEWAH, TN 37363(423) 495-5951(423) 495-5999 Get Directions Write a Review

NPPES record last updated: June 3, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kent A Grotefendt Md NPPES

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

DR. KENT A GROTEFENDT MD (NPI 1467439026) is an individual family medicine provider in Ooltewah, Tennessee, licensed in Tennessee (27518) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare System, Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1467439026
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENT A GROTEFENDTCredential: MD
Location Address6401 MOUNTAIN VIEW ROAD, SUITE 109Ooltewah, TN 37363-6685
Mailing Address6401 Mountain View Road, Suite 109Ooltewah, TN 37363-6685 · (423) 495-5951 · Fax (423) 495-5999
Fax(423) 495-5999
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateDecember 27, 2005
Last NPPES UpdateJune 3, 2010
NPI 1467439026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 27518
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6401 MOUNTAIN VIEW ROAD, Ooltewah, TN 37363

Other Identifiers 1

Medicare ID-Type Unspecified3805873TN

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

Dr. Kent A Grotefendt 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 ID9133244684
PECOS Enrollment IDI20100921000653
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 18

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.
857 services317 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
567 services331 patients
Placement of hormone pellet under skin 11980
The placement of a hormone pellet under the skin is a simple procedure. A small pellet is inserted under the skin, usually in the hip area. This pellet slowly releases hormones into your body to help balance hormone levels. It's a safe, effective way to manage hormone-related conditions.
385 services145 patients
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.
356 services40 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
297 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
219 services219 patients

Hospital Affiliations CMS Care Compare

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

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37363 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers75 claims206 services$5.79 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers12 claims12 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers49 claims66 services$0.93 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers11 claims62 services$1.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims18 services$66.47 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Family Medicine
6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363
Family Medicine
6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363
Obstetrics & Gynecology
6401 MOUNTAIN VIEW ROAD, SUITE 101
OOLTEWAH, TN 37363
Nurse Practitioner
6401 MOUNTAIN VIEW ROAD, SUITE 101
OOLTEWAH, TN 37363
Family Medicine
6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363
Family Medicine
6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363
Family Medicine
6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363
Family Medicine
6401 MOUNTAIN VIEW ROAD, SUITE 109
OOLTEWAH, TN 37363

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 Kent Grotefendt's NPI number?

The NPI number for Kent Grotefendt is 1467439026. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Kent Grotefendt located?

Kent Grotefendt practices at 6401 Mountain View Road Suite 109, Ooltewah, TN 37363. The listed phone number is (423) 495-5951.

What is Kent Grotefendt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kent Grotefendt enrolled in Medicare?

Yes. Kent Grotefendt 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 Kent Grotefendt accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Kent Grotefendt 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 Kent Grotefendt affiliated with any hospitals?

According to CMS data, Kent Grotefendt is affiliated with Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Kent Grotefendt was last updated on June 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.