Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AMANDA MICHELLE GRODEN DO
NPI 1912407305
Pediatrics in Tulsa, OK

Q: What is Amanda Groden's NPI number?

The NPI number for Amanda Groden is 1912407305. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Q: What is Amanda Groden's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Groden was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since February 13, 2018PECOS Enrolled

10109 E 79TH ST, TULSA, OK 74133(918) 233-9550 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Feb 13, 2018 (2 updates tracked since 2018).

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About Dr. Amanda Michelle Groden Do NPPES

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

DR. AMANDA MICHELLE GRODEN DO (NPI 1912407305) is an individual pediatrics provider in Tulsa, Oklahoma, licensed in Oklahoma (6665) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Eufaula.

NPPES Registry Identity

NPI1912407305

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. AMANDA MICHELLE GRODENCredential: DO

Location Address10109 E 79TH STTulsa, OK 74133-4564

Mailing Address925 W K StJenks, OK 74037-2558

Phone(918) 233-9550

Sole ProprietorYes

Enumeration DateFebruary 13, 2018

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1912407305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OK · 6665

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10109 E 79TH ST, Tulsa, OK 74133

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Secondary Practice Location 1

Location 1500 Eunice Burns RdEufaula, OK 74432-4052 · Phone (918) 689-2547

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica.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. Amanda Michelle Groden Do 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 74133 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.

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.

MRS. ANDREA S. WALL ACNP

Nurse Practitioner (Acute Care)