DR. STEFAN MARK GROETSCH (MD) – Family Medicine Physician, NPI 1679543268

DR. STEFAN MARK GROETSCH (MD) is a healthcare provider. based in Bremerton, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD071983L (PA). The NPI Number for DR. STEFAN MARK GROETSCH (MD) is 1679543268

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEFAN MARK GROETSCH (MD)
NPI
1679543268
Phone
(360) 475-4379
Address
1 BOONE ROAD
Enumeration Date
25 January 2006
Last Update Date
7 April 2021

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
3603077300
Graduation Year
1998 (28 years ago)
PAC ID
3870776834
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20191112000679
Address ID
WA983839411SI10452NWXX400
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. STEFAN MARK GROETSCH (MD)

  • Boone Road, Jackson Park, Jackson Park Support Area, Kitsap County, Washington, 98312, United States

    NAVAL HOSPITAL

    BREMERTON, WA 98312

    Phone: (360) 475-4379

    Fax: (360) 475-4646

    Type: Mailing

  • 10452 SILVERDALE WAY NW

    SILVERDALE, WA 983839411

    Phone: (360) 307-7300

    Type: Mailing

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: 2019-11-12

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
I20191112000679IFamily PracticeWATBD

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 minutes4939$0
99214Established patient office or other outpatient visit, 30-39 minutes3118$0
G0008Administration of influenza virus vaccine2626$0
99442Telephone medical discussion with physician, 11-20 minutes2415$0
90662Influenza vaccine split virus, preservative free2424$0
View full utilization report →

Insurance plans in this area (ZIP 98312)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. STEFAN MARK GROETSCH (MD)?
DR. STEFAN MARK GROETSCH (MD) — NPI 1679543268 — is the standard way to identify this listing.
Is DR. STEFAN MARK GROETSCH (MD) listed as active for patients and plans?
The listing shows DR. STEFAN MARK GROETSCH (MD) as active in the NPI system.
What is DR. STEFAN MARK GROETSCH (MD)'s specialty?
The listing groups DR. STEFAN MARK GROETSCH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. STEFAN MARK GROETSCH (MD) list a practice location?
Patients near Bremerton, Washington may find DR. STEFAN MARK GROETSCH (MD) in results; validate coverage separately.
Why does DR. STEFAN MARK GROETSCH (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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