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TARA M GROTH NP
NPI 1497980031
Nurse Practitioner in Madison, WI

Active since May 27, 2009PECOS EnrolledAccepts Medicare Assignment
1313 FISH HATCHERY RD, MADISON, WI 53715(608) 252-8000(608) 283-7318 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2020, Jan 15, 2018 (2 updates tracked since 2018).

About Tara M Groth Np NPPES

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

TARA M GROTH NP (NPI 1497980031) is an individual nurse practitioner in Madison, Wisconsin, licensed in Wisconsin (3843-33) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1497980031
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTARA M GROTHCredential: NP
Location Address1313 FISH HATCHERY RDMadison, WI 53715-1911
Mailing Address1313 Fish Hatchery RdMadison, WI 53715-1911 · (608) 252-8000
Phone(608) 252-8000
Fax(608) 283-7318
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 27, 2009
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1497980031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 3843-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1313 FISH HATCHERY RD, Madison, WI 53715
Open in Google Maps ↗

Other Identifiers 1

Medicaid1497980031WI

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

Tara M Groth Np 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 ID1456499805
PECOS Enrollment IDI20091105000359
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 4

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
69 services38 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
59 services52 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
41 services41 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
27 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53715 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
26%57 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%81 patients4/55-star benchmark: 100%
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…
23%115 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
40%48 patients2/55-star benchmark: 98%
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.

BRIAN J APEL
Pharmacist
1313 FISH HATCHERY RD, SUITE 300
MADISON, WI 53715
Dane County (608) 252-8044
ANN HERROLD-PETERSON LCSW
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
MRS. JAN LOUISE BASOM SCHUBERT MA
Social Worker (Clinical)
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
ERIC HUCKINS PHARMD
Pharmacist
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 294-3784
JOAN V. BROWN PA-C
Physician Assistant
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000
RUSSELL G ROHRDANZ AUD
Audiologist
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
LINDA WILHELMI LCSW
Social Worker (Clinical)
1313 FISH HATCHERY RD, DEAN MEDICAL CENTER
MADISON, WI 53715
Dane County (608) 252-8000
PAUL M REBER DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1313 FISH HATCHERY RD
MADISON, WI 53715
Dane County (608) 252-8000

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 Tara Groth's NPI number?

The NPI number for Tara Groth is 1497980031. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Where is Tara Groth located?

Tara Groth practices at 1313 Fish Hatchery Rd, Madison, WI 53715. The listed phone number is (608) 252-8000.

What is Tara Groth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tara Groth enrolled in Medicare?

Yes. Tara Groth 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.

When was this NPI record last updated?

The NPPES record for Tara Groth was last updated on November 18, 2020. 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.