Active NPI 1508980202 Individual Practitioner Female Practitioner

Dr. Michelle Renee Degroat , MD

Surgery • Dayton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Degroat, MD is a certified Surgery practicing in Dayton, OH. With approximately 21 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2005, Dr. Degroat delivers high-quality medical care to the local community at 9000 N MAIN ST.

Dr. Degroat is affiliated with Premier Health Specialists Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of gallbladder using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9000 N Main St
Ste 233

Dayton, OH 454151180

Telephone 9378329310

Fax 9378328613

Associated Practice Facility / Clinic

🏢 Premier Heart Associates, Inc Facility NPI 1881690964

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dayton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -1.1 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

68 Specialists

Practicing in Dayton, OH (1313 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Degroat (21 Years) 21 Yrs

Dayton Specialty Average (22.1 Years) 22.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$250.00	$157.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$190.00	$115.92
47562 Removal of gallbladder using an endoscope	16	16	$2452.00	$630.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$230.00	$123.08
49650 Repair of groin hernia using an endoscope	16	16	$1215.00	$439.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$247.00	$158.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	41	$190.00	$123.47
47562 Removal of gallbladder using an endoscope	12	12	$2452.00	$654.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$247.00	$161.95
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$134.00	$88.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$190.00	$124.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$300.00	$193.67
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$75.00	$38.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$240.00	$164.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$230.00	$134.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	22	$120.00	$70.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$164.44	$127.30
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$110.00	$89.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$175.00	$106.32
49650 Repair of groin hernia using an endoscope	11	11	$1472.73	$499.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$242.00	$161.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$169.33	$105.56
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$106.00	$72.66
19301 Partial removal of breast	13	12	$1179.00	$677.47
47562 Removal of gallbladder using an endoscope	11	11	$2452.00	$682.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$154.00	$105.28
99213 Established patient office or other outpatient visit, typically 15 minutes	41	40	$106.00	$72.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$242.00	$160.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	31	23	$101.00	$72.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$189.00	$135.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$74.00	$39.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$106.00	$70.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$154.00	$104.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	24	$101.00	$71.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$242.00	$153.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	18	$74.00	$38.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$189.00	$134.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$156.00	$103.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$301.00	$198.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$154.00	$101.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	25	$101.00	$70.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$189.00	$133.67
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$106.00	$70.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	22	$74.00	$38.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$242.00	$153.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$301.00	$197.76

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35.092498

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3073794 (OH)

Hospital & Practice Group Affiliations

Premier Health Specialists Inc

9000 N Main St, Englewood, OH 454151182

Phone: 9378329310

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Sabryna Creech , PA-C

Physician Assistant

NPI 1154272649

Physician Assistant (Certified)

Alessandra Bonanno , PA-C

Physician Assistant

NPI 1164254850

Physician Assistant (Certified)

Dr. James Decaestecker , DO

Surgery

NPI 1376533463

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Wu , MD

Surgery

NPI 1669462768

Doctor of Medicine (M.D.)

Kelli Schumacher , NP

Nurse Practitioner - Family

NPI 1699082602

Nurse Practitioner

Dr. Thomas Heck , MD

Surgery

NPI 1710977384

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 22, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 22, 2013

Registered at 9000 N MAIN ST, STE 233, DAYTON, OH 454151180 (Tel: 9378329310)

📍

Updated Business Mailing Address November 22, 2013

Registered at 9000 N MAIN ST, STE 233, DAYTON, OH 454151180 (Tel: 9378329310)

👤

Provider Name / Credentials Updated November 22, 2013

Recorded as MICHELLE DEGROAT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2013

Surgery (License #35.092498 in OH)

🟢

Initial NPI Registration & Enumeration March 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508980202

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 19, 2007

Last Update: November 22, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9000 N Main St, Ste 233

Dayton, OH 454151180

Phone: 9378329310

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.