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DR. MARTIN HERMAN GROTHEER M.D.
NPI 1750352597
Family Medicine in Miami, OK

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
18.55/100
CMS Quality Rating
10 S TREATY RD, MIAMI, OK 74354(918) 542-6644(918) 542-6167 Get Directions Write a Review

NPPES record last updated: November 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Martin Herman Grotheer M.d. NPPES

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

DR. MARTIN HERMAN GROTHEER M.D. (NPI 1750352597) is an individual family medicine provider in Miami, Oklahoma, licensed in Oklahoma (10117) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Joplin, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1972).

NPPES Registry Identity

NPI1750352597
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARTIN HERMAN GROTHEERCredential: M.D.
Location Address10 S TREATY RDMiami, OK 74354-5330
Mailing Address10 S Treaty RdMiami, OK 74354-5330 · (918) 542-6644 · Fax (918) 542-6167
Phone(918) 542-6644
Fax(918) 542-6167
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1972
Enumeration DateJanuary 30, 2006
Last NPPES UpdateNovember 9, 2012
✔ NPI 1750352597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 10117
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10 S TREATY RD, Miami, OK 74354
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Other Identifiers 3

Medicare UPINC94996OK
Medicare PINOKA104291OK
Medicaid100258760AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and more.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

Dr. Martin Herman Grotheer 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 ID4486688785
PECOS Enrollment IDI20050926001024
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
1,495 services87 patients
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.
794 services270 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
621 services74 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.
111 services86 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Joplin

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260001
Location100 Mercy WayJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Freeman Health System - Freeman West

Acute Care Hospitals · Joplin, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260137
Location1102 West 32nd StreetJoplin, MO 64804 · Jasper County
Emergency services Birthing friendly

Integris Miami Hospital

Acute Care Hospitals · Miami, OK
OwnershipVoluntary non-profit - Other
CMS Certification Number370004
Location200 Second Avenue SouthwestMiami, OK 74355 · Ottawa County
Emergency services Birthing friendly

Saint Francis Hospital Vinita, Inc

Acute Care Hospitals · Vinita, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370237
Location735 North Foreman StreetVinita, OK 74301 · Craig County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74354 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

18.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost61.84

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers43 claims156 services$5.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers23 claims44 services$0.91 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers23 claims23 services$38.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$85.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers18 claims32 services$39.55 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers16 claims16 services$66.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. WAYLAND R BILLINGS D.O.
Obstetrics & Gynecology
10 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 238-3074
MRS. BECCA SHAY COX PTA
Physical Therapy Assistant
10 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 540-2333
MRS. KYRIE RAE FAIRWEATHER APRN, NP-C
Nurse Practitioner (Family)
10 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 238-2410
CRAIG COUNTY HOSPITAL AUTHORITY
Clinic/Center
10 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 542-6644
HEART AND VASCULAR CARE
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10 S TREATY RD
MIAMI, OK 74354
Ottawa County (417) 782-2190
MARTIN H GROTHEER MD
Family Medicine
10 S TREATY RD
MIAMI, OK 74354
Ottawa County (918) 542-6644

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 Martin Grotheer's NPI number?

The NPI number for Martin Grotheer is 1750352597. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Martin Grotheer located?

Martin Grotheer practices at 10 S Treaty Rd, Miami, OK 74354. The listed phone number is (918) 542-6644.

What is Martin Grotheer's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martin Grotheer enrolled in Medicare?

Yes. Martin Grotheer 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 Martin Grotheer accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Martin Grotheer 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 Martin Grotheer affiliated with any hospitals?

According to CMS data, Martin Grotheer is affiliated with Mercy Hospital Joplin, Freeman Health System - Freeman West, Integris Miami Hospital and Saint Francis Hospital Vinita, Inc.

When was this NPI record last updated?

The NPPES record for Martin Grotheer was last updated on November 9, 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.