JEFFREY L GROFFSKY (MD) – Vascular & Interventional Radiology Physician, NPI 1861492902

JEFFREY L GROFFSKY (MD) is a healthcare provider. based in Plymouth, Minnesota. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY. They hold the professional credentials MD. They hold a License No. 42410 (MN). The NPI Number for JEFFREY L GROFFSKY (MD) is 1861492902

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY L GROFFSKY (MD)
NPI
1861492902
Phone
(763) 559-2171
Address
2800 CAMPUS DR
Enumeration Date
29 July 2005
Last Update Date
15 June 2012

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
7635815402
Graduation Year
1989 (37 years ago)
PAC ID
0345239091
Group Practice PAC ID
5698661007
Professional Enrollment ID
I20040508000312
Address ID
MN554222926RO3300XNXXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,801 DIAGNOSTIC RADIOLOGY in MN

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Provider Addresses for JEFFREY L GROFFSKY (MD)

  • 2800, Campus Drive, Plymouth, Hennepin County, Minnesota, 55441, United States

    # 10

    PLYMOUTH, MN 554412645

    Phone: (763) 559-2171

    Fax: (763) 694-9000

    Type: Mailing

  • North Memorial Medical Center, 3300, Oakdale Avenue North, Robbinsdale, Hennepin County, Minnesota, 55422, United States

    ROBBINSDALE, MN 554222926

    Phone: (763) 559-2171

    Fax: (763) 694-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $352.

Total Amount is formed as General ($352) + Research ($0) + Ownership ($0) = $352.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($230).

Total Amount

$352

General + Research + Ownership

Payments

3

Total payment records

General Amount

$352

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040508000312IDiagnostic RadiologyMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes10389$0
36902Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist6157$0
93922Ultrasound study of arm and leg arteries2827$0
93985Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access2524$0
93990Ultrasound of hemodialysis access2424$0
View full utilization report →

Insurance plans in this area (ZIP 55441)

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Provider's Procedures

JEFFREY L GROFFSKY (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMN77012Radiological supervision and interpretation of CT guidance for needle insertion1111
DIAGNOSTIC RADIOLOGYMN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698661007View full group profile
NameSpecialtyState
-MN
Diagnostic RadiologyMN
Nurse PractitionerMN
Diagnostic RadiologyMN
Interventional Radiology, Diagnostic RadiologyMN
Interventional RadiologyMN
Vascular SurgeryMN
Diagnostic Radiology, Interventional RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN

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Frequently asked questions

Can I use this page to confirm JEFFREY L GROFFSKY (MD)'s NPI?
Yes. JEFFREY L GROFFSKY (MD) is listed with NPI 1861492902 in the public NPI dataset.
Can I rely on JEFFREY L GROFFSKY (MD) being an active provider?
As of the registry snapshot, JEFFREY L GROFFSKY (MD) is marked active.
What healthcare role does JEFFREY L GROFFSKY (MD) hold?
Scheduling teams often label JEFFREY L GROFFSKY (MD) under Vascular & Interventional Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JEFFREY L GROFFSKY (MD)?
JEFFREY L GROFFSKY (MD)'s geographic hint is Plymouth, Minnesota in our summary view.
Why does JEFFREY L GROFFSKY (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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