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SAMUEL GRODMAN
NPI 1912394800
Emergency Medicine in Richmond, VA

Active since April 19, 2015PECOS EnrolledAccepts Medicare Assignment
94.66/100
CMS Quality Rating
821 W FRANKLIN ST, RICHMOND, VA 23284(804) 828-0100 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 10, 2022, May 4, 2021, Aug 30, 2018 (3 updates tracked since 2018).

About Samuel Grodman NPPES

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

SAMUEL GRODMAN (NPI 1912394800) is an individual emergency medicine provider in Richmond, Virginia, licensed in California (A155406) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2015).

NPPES Registry Identity

NPI1912394800
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSAMUEL GRODMAN
Location Address821 W FRANKLIN STRichmond, VA 23284
Mailing Address1578 Kanawha Blvd ECharleston, WV 25311-2470
Phone(804) 828-0100
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2015
Enumeration DateApril 19, 2015
Last NPPES UpdateOctober 10, 20223 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1912394800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · A155406✔ Licensed in NY · 309389
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
821 W FRANKLIN ST, Richmond, VA 23284
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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

Samuel Grodman 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 ID4385957984
PECOS Enrollment IDI20201214001067
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

3

Medicare enrollment records show Samuel Grodman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Physicians Of Mecklenburg County, PLLC
255 mi
Emergency Medicine
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 230 clinicians in this Medicare group
NPI 1912232182 (330) 493-4443
Emergency Coverage, LLC
336 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200
Cep America-California
2,096 mi
Emergency Medicine
250 N 1ST ST
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • 2,323 clinicians in this Medicare group
NPI 1710826581 (760) 922-4115

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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
331 services328 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
213 services204 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
134 services133 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
110 services107 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23284 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.8
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

CHRISTINE TANG ATC
Specialist/Technologist (Athletic Trainer)
821 W FRANKLIN ST
RICHMOND, VA 23284
Richmond City (619) 928-3563
VIRGINIA COMMONWEALTH UNIVERSITY
Orthopaedic Surgery (Sports Medicine)
821 W FRANKLIN ST
RICHMOND, VA 23284
Richmond City (804) 828-0100

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 Samuel Grodman's NPI number?

The NPI number for Samuel Grodman is 1912394800. It was assigned to this individual provider in the NPPES registry on April 19, 2015.

Where is Samuel Grodman located?

Samuel Grodman practices at 821 W Franklin St, Richmond, VA 23284. The listed phone number is (804) 828-0100.

What is Samuel Grodman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samuel Grodman enrolled in Medicare?

Yes. Samuel Grodman 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 Samuel Grodman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Grodman reassigns Medicare benefits to 3 organizations: Emergency Medicine Physicians Of Mecklenburg County, PLLC (Charlotte, NC), Emergency Coverage, LLC (Newport, TN) and Cep America-California (Blythe, CA). 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 Samuel Grodman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samuel Grodman affiliated with any hospitals?

According to CMS data, Samuel Grodman is affiliated with Sentara Albemarle Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Grodman was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.