MR. WILLIAM ANTHONY GROMKO M.D.
NPI 1477565026
Family Medicine in Sandy, OR

Q: What is William Gromko's NPI number?

The NPI number for William Gromko is 1477565026. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is William Gromko's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for William Gromko was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 12, 2006PECOS EnrolledAccepts Medicare Assignment

89.75/100

CMS Quality Rating

17055 RUBEN LN, SANDY, OR 97055(503) 668-8002(503) 668-5246 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2021, Jan 31, 2020 (2 updates tracked since 2020).

On this page

About Mr. William Anthony Gromko M.d. NPPES

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

MR. WILLIAM ANTHONY GROMKO M.D. (NPI 1477565026) is an individual family medicine provider in Sandy, Oregon, licensed in Oregon (MD204079) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Olympia, and is a graduate of Creighton University School Of Medicine (1974).

NPPES Registry Identity

NPI1477565026

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. WILLIAM ANTHONY GROMKOCredential: M.D.

Location Address17055 RUBEN LNSandy, OR 97055-9276

Mailing Address17055 Ruben LnSandy, OR 97055-9276 · (503) 668-8002

Phone(503) 668-8002

Fax(503) 668-5246

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1974

Enumeration DateAugust 12, 2006

Last NPPES UpdateMay 11, 20212 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1477565026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OR · MD204079✔ Licensed in WA · 14461✔ Licensed in MN · 66750

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.

17055 RUBEN LN, Sandy, OR 97055

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Secondary Practice Location 1

Location 1360 Lilly Rd NE Ste BOlympia, WA 98506-5430 · Phone (360) 491-8100 · Fax (360) 491-7793

Other Identifiers 6

Other610278200WA · U.s. Dept. Of Labor

Other912107280985030000WA · Tricare

Other147208WA · Workers Compensation

Other7280GRWA · Blue Cross Blue Shield

Other080168652WA · Palmetto Gba

Medicaid1112713WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mr. William Anthony Gromko 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 ID8325189996

PECOS Enrollment IDI20201113001393

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 William Gromko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health & Wellness, Inc.

384 mi

Primary Care

34169 US HIGHWAY 2
Libby, MT 59923

Reassigned Medicare billing, Montana enrollment
6 clinicians in this Medicare group

NPI 1275118085 (406) 293-3113

Group Health, Inc.

1,356 mi

Health Service

430 GREAT OAK DRIVE
Waite Park, MN 56387

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1457836454 (320) 203-2400

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 13

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.

167 services75 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.

129 services87 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.

81 services62 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

48 services44 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

43 services39 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

34 services33 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

34 services25 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

29 services23 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.

19 services19 patients

Psa (prostate specific antigen) measurement, total 84153

PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.

18 services17 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

15 services15 patients

Thyroxine (thyroid chemical), free 84439

The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.

13 services13 patients

Red blood cell sedimentation rate, to detect inflammation, automated 85652

The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97055 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

$90.51 typical visit price

range $58.99 – $176.88

Typical copayment $22.62 (range $14.74 – $44.22)

Most-billed visit code 99203

Established Patient

$103.51 typical visit price

range $19.32 – $144.79

Typical copayment $25.87 (range $4.83 – $36.19)

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.

89.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.04

Promoting Interoperability

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier11 claims11 services$39.81 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 16

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

ELIZABETH JOYCE PACARRO APRN

Nurse Practitioner (Family)