THEODORE ADOLPH GROSKREUTZ (MD) – Family Medicine Physician, NPI 1982703948
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
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Provider Addresses for THEODORE ADOLPH GROSKREUTZ (MD)
Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States
MINNEAPOLIS, MN 554071321
Phone: (612) 262-5000
Type: Mailing
Two Twelve Medical Center, 111, Hundertmark Road, Chaska, Carver County, Minnesota, 55318, United States
212 MEDICAL CENTER STE 220
CHASKA, MN 553184551
Phone: (952) 448-2050
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2008-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080111000557 | I | Family Practice | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 362 | 187 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 323 | 190 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 159 | 118 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 100 | 81 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 100 | 100 | $0 |
Insurance plans in this area (ZIP 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Diagnostic Radiology | MN | |
| Nurse Practitioner | MN | |
| - | MN | |
| Nurse Practitioner | SD | |
| Family Practice | MN | |
| Family Practice | MN | |
| Physician Assistant | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Emergency Medicine | WI |
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