RONALD D GROAT MD
NPI 1699882605
Psychiatry & Neurology - Psychiatry in Edina, MN
NPI Status: Active since August 24, 2006
Contact Information
6525 DREW AVE S
EDINA, MN
ZIP 55435
Phone: (952) 920-6748
Fax: (952) 920-3863
- Individual
- Male
- Psychiatry & Neurology
- Psychiatry
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About RONALD GROAT
This page provides the complete NPI Profile along with additional information for Ronald Groat, a provider established in Edina, Minnesota with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1699882605 assigned on August 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 23977 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1699882605
- Provider Name
- RONALD D GROAT MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6525 DREW AVE S EDINA, MN 55435
- Location Phone
- (952) 920-6748
- Location Fax
- (952) 920-3863
- Mailing Address
- 6525 DREW AVE S EDINA, MN 55435
- Mailing Phone
- (952) 920-6748
- Mailing Fax
- (952) 920-3863
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-24-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychiatrist like Ronald Groat are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Ronald Groat opted out of Medicare effective on 01-01-2006 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Psychiatry
- Taxonomy Code
- 2084P0800X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 23977
- License State
- MN
- Taxonomy Description
- A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101743 | OTHER (01) | MN | UCARE |
| 2M668GR | OTHER (01) | MN | BCBS MN |
| A96237 | MEDICARE UPIN (02) | MN |
Medicare Participation & PECOS Enrollment Status
Ronald Groat is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2006
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55435 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $168.28
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $42.07
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.74
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $17.43
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 8 | 8 | 2 | 6 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 8 | 4 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 8 + 4 + 6 + 0 + 24 = 75 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 75 = 5 | 5 | ||||||||
The NPI number 1699882605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255445185 | RICHARD A MINER MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1790891950 | JULIETTE E PETERSEN MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1497863971 | WILLIAM C DAVIS DO Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1578666004 | PAUL A ERICKSON MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1487757910 | YVONNE M STURM MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1114020641 | GERIATRIC & GENERAL PSYCHIATRY Organization | Psychiatry & Neurology (Geriatric Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1841393378 | DAVID G OPSAHL MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1154414050 | ERIC W LARSON MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1871665711 | WILLIAM A CALLAHAN Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6778 |
| 1740343151 | SUSAN E. SWIGART MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1326168543 | ELENUTE NICOLA MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1780838292 | DAVID ADSON MD LLC Organization | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1063779619 | WILLIAM B HOSFIELD MD PA Organization | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1346203833 | DAVID ERIC ADSON MD Individual | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1144667221 | HELEN WOOD MD PA Organization | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1831261775 | PSYCHIATRIC CONSULTING PLC Organization | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1073645248 | Y.STURM, M.D., PSYCHIATRY LLC Organization | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
| 1649391772 | ERIC W. LARSON, M.D., PLLC Organization | Psychiatry & Neurology (Psychiatry) | 6525 DREW AVE S EDINA, MN 55435 (952) 920-6748 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699882605, enumerated in the NPI registry as an "individual" on August 24, 2006
The provider is located at 6525 Drew Ave S Edina, Mn 55435 and the phone number is (952) 920-6748
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry
The provider might be accepting Accepts: HealthPartners, Medicare, Medicaid and Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $168.28 with an average copayment of $42.07 for new patient appointments. Established patients should expect a typical charge of $69.74 and an average copayment of 17.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on January 01, 2006 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on August 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.