MARK M GROHMAN D.O.
NPI 1538393541
Hospitalist in Biddeford, ME

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005(207) 283-7000(207) 283-7275 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mark M Grohman D.o. NPPES

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

MARK M GROHMAN D.O. (NPI 1538393541) is an individual hospitalist provider in Biddeford, Maine, licensed in Maine (DO2294) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of University Of New England, College Of Osteo Medicine (2009).

NPPES Registry Identity

NPI1538393541
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARK M GROHMANCredential: D.O.
Location AddressONE MEDICAL CENTER DRIVEBiddeford, ME 04005
Mailing AddressP.o. Box 626, One Medical Center DriveBiddeford, ME 04005 · (207) 283-7000 · Fax (207) 283-7275
Fax(207) 283-7275
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2009
Enumeration DateMay 5, 2009
Last NPPES UpdateSeptember 6, 2013
✔ NPI 1538393541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in ME · DO2294✔ Licensed in ME · 2294
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
ONE MEDICAL CENTER DRIVE, Biddeford, ME 04005

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

Mark M Grohman D.o. 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 ID4688820558
PECOS Enrollment IDI20120808000547
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

7

Medicare enrollment records show Mark Grohman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
General Acute Care Hospital
ONE MEDICAL CENTER DRIVE
Biddeford, ME 04005
  • Reassigned Medicare billing, Maine enrollment
  • Medicare enrollment name: Southern Maine Health Care
  • 253 clinicians in this Medicare group
General Acute Care Hospital
175 FORE RIVER PKWY
Portland, ME 04102
  • Reassigned Medicare billing, Maine enrollment
  • 322 clinicians in this Medicare group
Critical Access
10 HOSPITAL DR
Bridgton, ME 04009
  • Reassigned Medicare billing, Maine enrollment
  • 563 clinicians in this Medicare group
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
Critical Access
420 FRANKLIN ST
Rumford, ME 04276
  • Reassigned Medicare billing, Maine enrollment
  • 544 clinicians in this Medicare group
Emergency Medicine
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 54 clinicians in this Medicare group
General Acute Care Hospital
RR 1 BOX 11
Machias, ME 04654
  • Reassigned Medicare billing, Maine enrollment
  • Also billed through NPI 1528087004 (Maine)
  • 120 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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
82 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services20 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Down East Community Hospital

Critical Access Hospitals · Machias, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201311
Location11 Hospital DriveMachias, ME 04654 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Other Providers at the Same Location NPPES 8

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

Family Medicine
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005
Emergency Medicine
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005
Preventive Medicine (Aerospace Medicine)
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005
Psychiatry & Neurology (Child & Adolescent Psychiatry)
ONE MEDICAL CENTER DRIVE
BEDDEFORD, ME 04005
Emergency Medicine
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005
General Acute Care Hospital
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005
Emergency Medicine
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005
Nurse Practitioner (Adult Health)
ONE MEDICAL CENTER DRIVE
BIDDEFORD, ME 04005

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 Mark Grohman's NPI number?

The NPI number for Mark Grohman is 1538393541. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Mark Grohman located?

Mark Grohman practices at One Medical Center Drive, Biddeford, ME 04005. The listed phone number is (207) 283-7000.

What is Mark Grohman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Mark Grohman enrolled in Medicare?

Yes. Mark Grohman 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 organizations bill Medicare for Mark Grohman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Grohman reassigns Medicare benefits to 7 organizations: Mainehealth (Biddeford, ME), Mercy Hospital (Portland, ME), Bridgton Hospital (Bridgton, ME), Central Maine Medical Center (Lewiston, ME), Rumford Hospital (Rumford, ME) and 2 more organizations, listed in the Medicare section above. Each 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 Mark Grohman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Grohman affiliated with any hospitals?

According to CMS data, Mark Grohman is affiliated with Northern Light Health and Down East Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Grohman was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.