NPI registry status
Active
2026 NPPES data Pediatric Rheumatology Physician NPI 1619997715 M.D.
Verify on CMS → Alexei Grom, M.D.
Pediatric Rheumatology Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 390 in Pediatric Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
60
Medicare Part D claims · Pediatric Rheumatology Physician avg: 200
Generic prescribing
53%
generic claims · 47% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$21.1K
21 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Alexei Grom, M.D. filed 60 Medicare Part D claims in 2023 as a Pediatric Rheumatology Physician in Cincinnati, Ohio, prescribing 53% generic.
- 60
- Part D claims, 2023
- 53%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Alexei Grom, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
60 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Alexei Grom, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Alexei Grom, M.D.?
Quality data not reportedPrimary specialty
Pediatric Rheumatology Physician
Medicare Part D claims
60 70% vs specialty avg
Specialty distribution in Ohio
How Pediatric Rheumatology Physician compares to other specialties among Ohio providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pediatric Rheumatology Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Alexei Grom, M.D. appears in the CMS NPPES registry as a Pediatric Rheumatology Physician provider holding M.D. credentials at 3333 BURNET AVE, Cincinnati, OH, 45229, with a listed phone of (513) 636-7686. NPI 1619997715 was issued on 07/20/2006.
Medicare Part D records for calendar year 2023 show 60 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $155K in drug spend, split 47% brand-name and 53% generic by claim count.
Pediatric Rheumatology Physician is a narrow specialty nationwide, with 390 enrolled providers across 43 states and an average of 200 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1619997715 |
|---|---|
| Specialty | Pediatric Rheumatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/20/2006 |
Hospital and facility affiliations
Facilities where Alexei Grom, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Children's Hospital Medical Center
Cincinnati, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Alexei Grom, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$21.1K
Largest payer
SOBI, INC
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Alexei Grom, M.D.. To verify Alexei Grom, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Alexei Grom, M.D. - brand share 47.0%
Pediatric Rheumatology Physician average
47% brand-name claims vs 53% generic, on 60 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
60
Total Claims
$155K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 81
- Total Day Supply
- 2,364
- Brand vs Generic
- 47% brand / 53% generic
- Brand Drug Cost
- $153K
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 27.5 years
- Avg HCC Risk Score
- 0.83
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 20 |
| Inflectra Infliximab-Dyyb | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Rheumatology Physician Overview
How Alexei Grom, M.D. fits within the Pediatric Rheumatology Physician landscape nationally.
390
Pediatric Rheumatology Physician Providers in US
43
States with Pediatric Rheumatology Physician
200
Avg Claims per Provider
Alexei Grom, M.D.'s 60 claims are below the specialty average of 200.
Nearby Pediatric Rheumatology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Grom.
Dr. Wafa Ahmed
MD
Columbus, OH
Dr. Shoghik Akoghlanian
MD
Columbus, OH
Ohoud Alahmed
Columbus, OH
Dr. Sheila Angeles-Han
MD
Cincinnati, OH
Dr. Stacy Ardoin
MD
Columbus, OH
Compare Pediatric Rheumatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Rheumatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Ohio
Frequently Asked Questions
What is Alexei Grom, M.D.'s specialty? ▼
Alexei Grom, M.D. specializes in Pediatric Rheumatology Physician and practices in Cincinnati, Ohio. Credentials: M.D..
How much does Alexei Grom, M.D. prescribe under Medicare Part D? ▼
In 2023, Alexei Grom, M.D. wrote 60 Medicare Part D claims totaling $155K in drug costs for N/A beneficiaries.
Where is Alexei Grom, M.D. located? ▼
Alexei Grom, M.D. is located at 3333 BURNET AVE, Cincinnati, OH, 45229. Phone: (513) 636-7686.
What is Alexei Grom, M.D.'s NPI number? ▼
Alexei Grom, M.D.'s National Provider Identifier (NPI) is 1619997715, issued on 07/20/2006.
Does Alexei Grom, M.D. prescribe more brand-name or generic drugs? ▼
Alexei Grom, M.D.'s prescribing is 47% brand-name and 53% generic drugs by claim count, with $153K in brand drug costs.
How many Pediatric Rheumatology Physician providers are there in the US? ▼
There are 390 Pediatric Rheumatology Physician providers across 43 states in the US. The average Pediatric Rheumatology Physician provider writes 200 Medicare Part D claims per year.
What drugs does Alexei Grom, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Alexei Grom, M.D.'s most frequently prescribed drugs include Methotrexate, Inflectra. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alexei Grom, M.D. accept Medicare? ▼
Alexei Grom, M.D. appears in CMS Medicare data with 60 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alexei Grom, M.D.'s credentials? ▼
Alexei Grom, M.D.'s NPI is 1619997715 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.