MICHELLE RENEE DEGROAT MD
NPI 1508980202
Surgery in Dayton, OH

Q: What is Michelle Degroat's NPI number?

The NPI number for Michelle Degroat is 1508980202. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Michelle Degroat's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Degroat was last updated on November 22, 2013. 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.

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment

76.79/100

CMS Quality Rating

9000 N MAIN ST, STE 233, DAYTON, OH 45415(937) 832-9310(937) 832-8613 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Michelle Renee Degroat Md NPPES

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

MICHELLE RENEE DEGROAT MD (NPI 1508980202) is an individual surgery provider in Dayton, Ohio, licensed in Ohio (35.092498) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2005).

NPPES Registry Identity

NPI1508980202

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameMICHELLE RENEE DEGROATCredential: MD

Location Address9000 N MAIN ST, STE 233Dayton, OH 45415-1180

Mailing Address9000 N Main St, Ste 233Dayton, OH 45415-1180 · (937) 832-9310 · Fax (937) 832-8613

Phone(937) 832-9310

Fax(937) 832-8613

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2005

Enumeration DateMarch 19, 2007

Last NPPES UpdateNovember 22, 2013

✔ NPI 1508980202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OH · 35.092498

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

9000 N MAIN ST, Dayton, OH 45415

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Other Identifiers 3

Medicaid3073794OH

Medicare PIN4296941OH

Medicare PIN4296942OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.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

Michelle Renee Degroat 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 ID941324198

PECOS Enrollment IDI20100825000632

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 5

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.

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.

90 services90 patients

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.

27 services26 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

16 services16 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

16 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45415 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

76.79/100

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

Scored as part of a group practice

Quality

64.65

Promoting Interoperability

100

Improvement Activities

Cost

57.98

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

54%74 patients3/55-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

62%108 patients3/55-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…

32%126 patients2/55-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

83%52 patients4/55-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.

MS. NIKI FRANCES HARRY CST

9000 N MAIN ST
DAYTON, OH 45415

Montgomery County (937) 836-3118

DR. SUSAN M EMMERLING MD

Obstetrics & Gynecology

9000 N MAIN ST, SUITE 232
DAYTON, OH 45415

Montgomery County (937) 277-8988

CARLA RENEE KING CNM

Advanced Practice Midwife

9000 N MAIN ST, SUITE 232
DAYTON, OH 45415

Montgomery County (937) 277-8988

INFECTIOUS DISEASE PHYSICIANS OF DAYTON LLC

Internal Medicine (Infectious Disease)

9000 N MAIN ST, INFUSION SERVICES
DAYTON, OH 45415

Montgomery County (937) 279-5803

NON-INVASIVE INTERPRETATIONS LLC

Internal Medicine (Cardiovascular Disease)

9000 N MAIN ST, STE 101
DAYTON, OH 45415

Montgomery County (938) 832-2425

BENJAMIN DELOSS MISHLER PA-C, AT

Family Medicine

9000 N MAIN ST
ENGLEWOOD, OH 45415

Montgomery County (260) 223-5666

BRIAN D LEWIS MD

Orthopaedic Surgery

9000 N MAIN ST, STE 227
DAYTON, OH 45415

Montgomery County (937) 832-4773

DOUGLAS E MCCAFFERTY PA

Physician Assistant

9000 N MAIN ST, STE 227
DAYTON, OH 45415

Montgomery County (937) 832-4773

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 Michelle Degroat's NPI number?

The NPI number for Michelle Degroat is 1508980202. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Michelle Degroat located?

Michelle Degroat practices at 9000 N Main St Ste 233, Dayton, OH 45415. The listed phone number is (937) 832-9310.

What is Michelle Degroat's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michelle Degroat enrolled in Medicare?

Yes. Michelle Degroat 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 Michelle Degroat accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Michelle Degroat 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 Michelle Degroat affiliated with any hospitals?

According to CMS data, Michelle Degroat is affiliated with Miami Valley Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Degroat was last updated on November 22, 2013. 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.