STEPHAN J GROTH (M.D.) – Obstetrics & Gynecology Physician, NPI 1699780015

STEPHAN J GROTH (M.D.) is a healthcare provider. based in Coos bay, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. MD22161 (OR). The NPI Number for STEPHAN J GROTH (M.D.) is 1699780015

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
STEPHAN J GROTH (M.D.)
NPI
1699780015
Phone
(541) 269-0333
Address
1750 THOMPSON RD
Enumeration Date
31 July 2006
Last Update Date
22 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
5412690333
Graduation Year
1993 (33 years ago)
PAC ID
7214917962
Group Practice PAC ID
9638164874
Professional Enrollment ID
I20040722001001
Address ID
OR974202100CO1750XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

632 OBSTETRICS/GYNECOLOGY in OR

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Provider Addresses for STEPHAN J GROTH (M.D.)

  • Bay Clinic, 1750, Thompson Road, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 974202100

    Phone: (541) 269-0333

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Astellas Pharma US Inc ($41).

Total Amount

$163

General + Research + Ownership

Payments

7

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

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: 2004-07-22

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
I20040722001001IObstetrics/GynecologyORTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4934$0
99214Established patient office or other outpatient visit, 30-39 minutes2621$0
36415Insertion of needle into vein for collection of blood sample1313$0
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1111$0
View full utilization report →

Insurance plans in this area (ZIP 97420)

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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: 9638164874View full group profile
NameSpecialtyState
-OR
O B S T E T R I C S/ G Y N E C O L O G YUT
-OR
Pediatric MedicineOR
Nurse PractitionerOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Clinical Social WorkerOR
Internal MedicineOR
Certified Nurse Midwife (Cnm)OR
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is STEPHAN J GROTH (M.D.)'s NPI number?
STEPHAN J GROTH (M.D.)'s NPI is 1699780015 — the number used across U.S. healthcare to identify this provider.
Is STEPHAN J GROTH (M.D.) still an active registrant?
STEPHAN J GROTH (M.D.) carries an active NPI according to the public dataset.
What area of care is associated with STEPHAN J GROTH (M.D.)?
STEPHAN J GROTH (M.D.)'s record emphasizes Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is STEPHAN J GROTH (M.D.) located near Coos Bay?
STEPHAN J GROTH (M.D.) currently maps to Coos Bay, Oregon in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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