DR. JOHN R GROLL (M.D.) – Cardiovascular Disease Physician, NPI 1396716163

DR. JOHN R GROLL (M.D.) is a healthcare provider. based in Kirkwood, Missouri. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. R8J11 (MO). The NPI Number for DR. JOHN R GROLL (M.D.) is 1396716163

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN R GROLL (M.D.)
NPI
1396716163
Phone
(314) 441-5609
Address
1028 S KIRKWOOD RD STE A
Enumeration Date
30 January 2006
Last Update Date
20 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6189394200
Graduation Year
1988 (38 years ago)
PAC ID
9133033905
Group Practice PAC ID
9830562016
Professional Enrollment ID
I20031117000133
Address ID
IL622981592WA509XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,594 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IL

Provider Addresses for DR. JOHN R GROLL (M.D.)

  • 1028 S KIRKWOOD RD STE A

    KIRKWOOD, MO 631227222

    Phone: (314) 441-5609

    Fax: (314) 288-0519

    Type: Mailing

  • 1900 STATE ST

    CHESTER, IL 622331116

    Phone: (618) 826-4581

    Fax: (318) 826-5152

    Type: Location

  • 3009, North Ballas Road, Town and Country, Saint Louis County, Missouri, 63131, United States

    STE. 100B

    SAINT LOUIS, MO 631312322

    Phone: (314) 432-1111

    Fax: (314) 432-6308

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($38).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2003-11-17

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
I20031117000133ICardiovascular Disease (Cardiology)ILTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1714$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1313$0
View full utilization report →

Insurance plans in this area (ZIP 63122)

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Provider's Procedures

DR. JOHN R GROLL (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin1311
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report5648
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2316
CARDIOVASCULAR DISEASE (CARDIOLOGY)MO93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart4746

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: 9830562016View full group profile
NameSpecialtyState
Hospitalist, Family PracticeIL
Hospitalist, Internal MedicineIL
Pulmonary DiseaseNM
Internal Medicine, Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL
H E M A T O L O G Y/ O N C O L O G YIL
H O S P I T A L I S TMO
Neurology, Critical Care (Intensivists)IN
Physician AssistantIL

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Frequently asked questions

Does DR. JOHN R GROLL (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JOHN R GROLL (M.D.) uses 1396716163.
Can I rely on DR. JOHN R GROLL (M.D.) being an active provider?
As of the registry snapshot, DR. JOHN R GROLL (M.D.) is marked active.
What is DR. JOHN R GROLL (M.D.) best known for clinically?
Directory data describes DR. JOHN R GROLL (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JOHN R GROLL (M.D.) based?
DR. JOHN R GROLL (M.D.) is tied to Kirkwood, Missouri in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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