Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639203441 Individual Practitioner Male Practitioner

Jerod B Grogg , PA

Physician Assistant • Miamisburg, OH

Professional Overview & Biography Verified Profile Summary

Jerod Grogg, PA is a registered healthcare professional specializing in Physician Assistant in Miamisburg, OH. Practice services are available at 4000 MIAMISBURG CENTERVILLE RD STE 420 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; first dose, adm sarscov2 100mcg/0.5ml2nd. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4000 Miamisburg Centerville Rd Ste 420

Miamisburg, OH 453427615

Telephone 9374394145
Fax 9374394371
Associated Practice Facility / Clinic
🏢 Alison A Clarey Do Inc Facility NPI 1679506356

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Miamisburg, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Miamisburg, OH (5376 Statewide)

Telehealth Adoption Rate
12.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
47 38 $279.00 $96.96
99213 Established patient office or other outpatient visit, typically 15 minutes
19 16 $188.00 $69.75

Medical Specialties & State Licenses

CMS Verified: 2025-08-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50001994

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0085267 (OH)

Secondary Practice Locations

4000 Miamisburg Centerville Rd Ste 435

Miamisburg, OH 453427615

Phone: 9374335957

7740 Washington Village Dr Ste 110

Dayton, OH 454593994

Phone: 9374394145

Practice Associates & Co-Workers

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

8 Associated Practitioners
Chelsea Zastrow , APRN, FNP-C

Nurse Practitioner - Family

NPI 1073081204

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

NPI 1083611792

Doctor of Osteopathic Medicine (D.O.)

Emily Nolan , PA-C

Physician Assistant

NPI 1275185480

Physician Assistant (Certified)

Peritha Garland , PA-C

Physician Assistant

NPI 1386684355

Physician Assistant (Certified)

NPI 1639162449

Doctor of Medicine (M.D.)

NPI 1730599366

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 18, 2025

Registered at 4000 MIAMISBURG CENTERVILLE RD STE 420, MIAMISBURG, OH 453427615 (Tel: 9374394145)

📍
Updated Practice Location January 22, 2020

Registered at 7740 WASHINGTON VILLAGE DR STE 110, DAYTON, OH 454593994 (Tel: 9374394145)

📍
Updated Business Mailing Address January 22, 2020

Registered at 7740 WASHINGTON VILLAGE DR STE 110, DAYTON, OH 454593994 (Tel: 9374394145)

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2016

Registered at 2115 LEITER RD, SUITE 100, MIAMISBURG, OH 453423659 (Tel: 9373846922)

📍
Updated Business Mailing Address August 30, 2016

Registered at PO BOX 711808, COLUMBUS, OH 432711808 (Tel: 9373844838)

👤
Provider Name / Credentials Updated August 30, 2016

Recorded as JEROD GROGG, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Physician Assistant (License #50001994 in OH)

🟢
Initial NPI Registration & Enumeration March 15, 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: 1639203441
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: August 18, 2025
Sole Proprietor: No

Mailing Address

7740 Washington Village Dr Ste 110

Dayton, OH 454593994

Phone: 9374394145

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.