ELISSA GROPEN M.D.
NPI 1700949112
Specialist in Riverside, CA

Active since December 18, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D1042496 · Microscopy
0/100
CMS Quality Rating
4954 ARLINGTON AVE, STE A, RIVERSIDE, CA 92504(951) 684-8397(951) 684-2252 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elissa Gropen M.d. NPPES

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

ELISSA GROPEN M.D. (NPI 1700949112) is an individual specialist in Riverside, California, licensed in California (G69545) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through December 31, 2027, and is a graduate of University Of Southern California Keck School Of Medicine (1989).

NPPES Registry Identity

NPI1700949112
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameELISSA GROPENCredential: M.D.
Location Address4954 ARLINGTON AVE, STE ARiverside, CA 92504-2746
Mailing Address4954 Arlington Ave, Suite ARiverside, CA 92504-2746 · (951) 684-8397 · Fax (951) 684-2252
Fax(951) 684-2252
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1989
Enumeration DateDecember 18, 2006
Last NPPES UpdateNovember 27, 2012
NPI 1700949112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G69545
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4954 ARLINGTON AVE, Riverside, CA 92504

Other Identifiers 1

Medicare PINGM072ACA

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

Elissa Gropen M.d. 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 ID1456378199
PECOS Enrollment IDI20120210000060
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1042496

Elissa Gropen Dermatology, Inc · Riverside, CA
Active · expires Dec 31, 2027
CLIA Number05D1042496
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorElissa Gropen
Laboratory Phone(951) 684-8397
Laboratory LocationElissa Gropen Dermatology, Inc3576 Arlington Ave, Ste 102, Riverside, CA 92506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 23

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
926 services437 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
771 services135 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
449 services290 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
290 services179 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.
172 services148 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
76 services76 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES

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

Specialist
4954 ARLINGTON AVE, STE A
RIVERSIDE, CA 92504

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 Elissa Gropen's NPI number?

The NPI number for Elissa Gropen is 1700949112. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Elissa Gropen located?

Elissa Gropen practices at 4954 Arlington Ave Ste A, Riverside, CA 92504. The listed phone number is (951) 684-8397.

What is Elissa Gropen's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Elissa Gropen enrolled in Medicare?

Yes. Elissa Gropen 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.

Does Elissa Gropen hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1042496) is associated with this NPI, valid through December 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elissa Gropen was last updated on November 27, 2012. 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.