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Deactivated NPI 1457340986 Deactivated / Inactive NPI Male Practitioner

Dr. Rodney E Grolman , MD

Surgery • Moses Lake, WA

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rodney Grolman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 18, 2005
NPI Deactivation Date October 25, 2005
Total Practice Duration ~7 Years of Practice (1998 – 2005)

Professional Overview & Biography Verified Profile Summary

Dr. Rodney Grolman, MD was a registered Surgery practicing in Moses Lake, WA. Throughout an active medical career spanning 7 years, Dr. Grolman provided care at the practice location at 1550 S PIONEER WAY until profile deactivation on 2005-10-25.

Dr. Grolman was affiliated with Sutter Bay Medical Foundation and accepted Medicare assignment.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1550 S Pioneer Way
Suite 370

Moses Lake, WA 988374613

Telephone 4102188059
Associated Practice Facility / Clinic
🏢 Samaritan Inland Mri Llc Facility NPI 1376504803

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Moses Lake, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
28 Yrs +11.6 yrs vs City Avg
City Avg: 16.4 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Moses Lake, WA (818 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grolman (28 Years) 28 Yrs
Moses Lake Specialty Average (16.4 Years) 16.4 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
143 88 $252.00 $87.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
52 52 $704.00 $193.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
21 20 $365.00 $131.93
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
12 12 $478.00 $144.88

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD60050963

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License CA C53617

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
402277700 (MD)
Commercial Insurance / Payer ID Federal Workman's Comp
145724700 (MD)
Commercial Insurance / Payer ID Aetna Hmo
1334455 (MD)
Commercial Insurance / Payer ID Carefirst Dc
K5850005 (DC)
Commercial Insurance / Payer ID Rr Medicare
P00354284 (MD)
Commercial Insurance / Payer ID Aetna Ppo
7843490 (MD)
Commercial Insurance / Payer ID Carefirst
887BAA62011004 (MD)

Hospital & Practice Group Affiliations

Sutter Bay Medical Foundation

2850 Telegraph Ave, Berkeley, CA 947051159

Phone: 5102048150

Practice Associates & Co-Workers

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

38 Associated Practitioners
Ethan Washburn , PA-C

Physician Assistant

NPI 1003142936

Physician Assistant (Certified)

NPI 1023464609

Doctor of Osteopathic Medicine (D.O.)

NPI 1033591375

Doctor of Medicine (M.D.)

Joseph Hancock , PA-C

Physician Assistant

NPI 1043902711

Physician Assistant (Certified)

Richard Tracy , FNP

Nurse Practitioner

NPI 1053235606

Family Nurse Practitioner

Penny Mayo , RN, CDCES

Registered Nurse - Diabetes Educator

NPI 1134464738

Registered Nurse, Certified Diabetes Care and Education Specialist

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location August 06, 2013

Registered at 1550 S PIONEER WAY, SUITE 370, MOSES LAKE, WA 988374613 (Tel: 4102188059)

📍
Updated Business Mailing Address August 06, 2013

Registered at 1550 S PIONEER WAY, SUITE 370, MOSES LAKE, WA 988374613 (Tel: 4102188059)

👤
Provider Name / Credentials Updated August 06, 2013

Recorded as RODNEY GROLMAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2013

Surgery (License #MD60050963 in WA)

🔄
NPI Profile Reactivated May 08, 2007

Record officially reactivated for active practice on May 08, 2007

⚠️
NPI Profile Deactivated October 25, 2005

Record deactivated on October 25, 2005

🟢
Initial NPI Registration & Enumeration October 18, 2005

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: 1457340986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2005
Last Update: August 06, 2013
Deactivation Date: October 25, 2005
Sole Proprietor: No

Mailing Address

1550 S Pioneer Way, Suite 370

Moses Lake, WA 988374613

Phone: 4102188059

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.