DR. CAROL MARIE GRABOWSKI MD
NPI 1669582532
Radiology - Radiation Oncology in Appleton, WI

Active since August 30, 2006PECOS Enrolled
82.79/100
CMS Quality Rating
3925 N GATEWAY DR, APPLETON, WI 54913(920) 749-1171(920) 749-1172 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Feb 10, 2016, Jan 11, 2016 (3 updates tracked since 2016).

About Dr. Carol Marie Grabowski Md NPPES

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

DR. CAROL MARIE GRABOWSKI MD (NPI 1669582532) is an individual radiation oncology provider in Appleton, Wisconsin, licensed in Wisconsin (64957) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stevens Point.

NPPES Registry Identity

NPI1669582532
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameDR. CAROL MARIE GRABOWSKICredential: MD
Location Address3925 N GATEWAY DRAppleton, WI 54913-7863
Mailing Address3232 N Ballard Rd, Suite 200Appleton, WI 54911-8804 · (920) 749-9668 · Fax (920) 734-5307
Fax(920) 749-1172
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1669582532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses Licensed in WI · 64957 Licensed in MN · 33288
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedRadiology · Hospice and Palliative MedicineTaxonomy 2085H0002X · License 33288 (MN)
3925 N GATEWAY DR, Appleton, WI 54913

Secondary Practice Location 1

Location 14100 State Highway 66Stevens Point, WI 54482-8410 · Phone (715) 343-7730

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carol Marie Grabowski 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.

Areas of Expertise CMS Part B claims 6

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.
51 services37 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
45 services18 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
40 services12 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
24 services13 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
16 services16 patients
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

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.

Pharmacy (Community/Retail Pharmacy)
3925 N GATEWAY DR, SUITE 100
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913
Internal Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Family Medicine
3925 N GATEWAY DR
APPLETON, WI 54913
Nurse Practitioner (Family)
3925 N GATEWAY DR
APPLETON, WI 54913

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 Carol Grabowski's NPI number?

The NPI number for Carol Grabowski is 1669582532. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Carol Grabowski located?

Carol Grabowski practices at 3925 N Gateway Dr, Appleton, WI 54913. The listed phone number is (920) 749-1171.

What is Carol Grabowski's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Carol Grabowski enrolled in Medicare?

Yes. Carol Grabowski is registered in the Medicare PECOS enrollment system.

What insurance does Carol Grabowski accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Sanford Health Plan list Carol Grabowski 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.

When was this NPI record last updated?

The NPPES record for Carol Grabowski was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.