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ROBERT E GRONDAHL MD
NPI 1922191816
Obstetrics & Gynecology in Avon, IN

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
1111 RONALD REAGAN PKWY STE 1400, AVON, IN 46123(317) 217-2777(317) 217-2775 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert E Grondahl Md NPPES

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

ROBERT E GRONDAHL MD (NPI 1922191816) is an individual obstetrics & gynecology provider in Avon, Indiana, licensed in Indiana (01059882) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Penobscot Bay Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1922191816
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROBERT E GRONDAHLCredential: MD
Location Address1111 RONALD REAGAN PKWY STE 1400Avon, IN 46123-7085
Mailing Address1111 Ronald Reagan Pkwy Ste C1400Avon, IN 46123-7085 · (317) 217-2777
Phone(317) 217-2777
Fax(317) 217-2775
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 26, 2019
✔ NPI 1922191816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IN · 01059882
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1111 RONALD REAGAN PKWY STE 1400, Avon, IN 46123
Open in Google Maps ↗

Other Identifiers 1

Medicaid200525570IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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

Robert E Grondahl Md 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 ID4587608401
PECOS Enrollment IDI20190807001180
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.

Hospital Affiliations CMS Care Compare 2

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

Penobscot Bay Medical Center

Acute Care Hospitals · Rockport, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200063
Location6 Glen Cove DriveRockport, ME 04856 · Knox County
Emergency services Birthing friendly

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46123 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

TRAVIS A RICHARDSON MD
Obstetrics & Gynecology
1111 RONALD REAGAN PKWY STE 1400
AVON, IN 46123
Hendricks County (317) 217-2777

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 Robert Grondahl's NPI number?

The NPI number for Robert Grondahl is 1922191816. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Robert Grondahl located?

Robert Grondahl practices at 1111 Ronald Reagan Pkwy Ste 1400, Avon, IN 46123. The listed phone number is (317) 217-2777.

What is Robert Grondahl's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Robert Grondahl enrolled in Medicare?

Yes. Robert Grondahl 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 Robert Grondahl accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Robert Grondahl 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 Robert Grondahl affiliated with any hospitals?

According to CMS data, Robert Grondahl is affiliated with Penobscot Bay Medical Center and Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Robert Grondahl was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.