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DEREK GROSKREUTZ MD
NPI 1558055889
Radiology - Vascular & Interventional Radiology in Charleston, SC

Active since June 08, 2023PECOS Enrolled
169 ASHLEY AVE, CHARLESTON, SC 29425(608) 797-3185 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Groskreutz Md NPPES

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

DEREK GROSKREUTZ MD (NPI 1558055889) is an individual vascular & interventional radiology provider in Charleston, South Carolina, licensed in South Carolina (LL89956) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558055889
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDEREK GROSKREUTZCredential: MD
Location Address169 ASHLEY AVECharleston, SC 29425-8905
Mailing Address169 Ashley AveCharleston, SC 29425-8905
Phone(608) 797-3185
Sole ProprietorNo
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1558055889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in SC · LL89956
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
169 ASHLEY AVE, Charleston, SC 29425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Groskreutz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

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.

MR. BRUCE ALAN REEVES PT
Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Charleston County (843) 792-3481
KRISTINA CALAMIA
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3881
EMILY MCGILL MD
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2185
PAIGE WOODHAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
KATIE FLOWER M.D.
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Charleston County (216) 385-5459
JENNIE HYEJIN KWON MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3072
DR. BRIAN ELLIS JACOBS MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
HANNAH ELIZABETH PRESSLER
Internal Medicine
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 754-7275

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 Derek Groskreutz's NPI number?

The NPI number for Derek Groskreutz is 1558055889. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Derek Groskreutz located?

Derek Groskreutz practices at 169 Ashley Ave, Charleston, SC 29425. The listed phone number is (608) 797-3185.

What is Derek Groskreutz's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Derek Groskreutz enrolled in Medicare?

Yes. Derek Groskreutz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derek Groskreutz was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.