2026 NPPES data Pulmonary Disease Physician NPI 1831162395 MD
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JANNICA GROOM, MD

Pulmonary Disease Physician in ST PAUL, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 128 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
37%
generic claims · 63% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JANNICA GROOM, MD is a Pulmonary Disease Physician ([object Object]) practicing in ST PAUL, Minnesota with a Medicare Part D prescribing footprint of 1K claims across 128 beneficiaries — 63% brand-name prescribing .

What stands out: JANNICA GROOM, MD filed 1,214 Medicare Part D claims in 2023 across ST PAUL, Minnesota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JANNICA GROOM, MD 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).

JANNICA GROOM, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/07/2006

NPI 1831162395

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,214 17% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Minnesota

How Pulmonary Disease Physician compares to other specialties among Minnesota providers

Minnesota providers

Pulmonary Disease Physician share within Minnesota

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Minnesota

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

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).

JANNICA GROOM, MD is a Pulmonary Disease Physician provider practicing in ST PAUL, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1831162395. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JANNICA GROOM, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 401 PHALEN BOULEVARD, ST PAUL, MN, 55101, with a listed phone of (651) 254-7670. NPI 1831162395 was issued on 02/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GROOM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,214 prescription claims written by this provider, covering 128 Medicare beneficiaries and totaling roughly $549K in drug spend, split 63% brand-name and 37% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

401 PHALEN BOULEVARD
ST PAUL, MN 55101

Provider Details

NPI 1831162395
Specialty Pulmonary Disease Physician
Credentials MD
Gender Female
NPI Issued 02/07/2006

Hospital and facility affiliations

Facilities where JANNICA GROOM, MD 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.

GROUP HEALTH PLAN INC
SAINT PAUL, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Brand-heavy

JANNICA GROOM, MD — brand share 63.0%
Specialty average (est.)

63% brand-name claims vs 37% generic, on 1,214 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.

1,214
Total Claims
$549K
Total Drug Cost
128
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,758
Total Day Supply
47,965
Brand vs Generic
63% brand / 37% generic
Brand Drug Cost
$533K
Generic Drug Cost
$16K
Antibiotic Claims
79

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.67
Gender Split
67% female / 33% male
Age Distribution
<65: 12, 65-74: 55, 75-84: 49, 85+: 12

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
138
Prednisone
91
Budesonide-Formoterol Fumarate
Budesonide/Formoterol Fumarate
70
Breo Ellipta
Fluticasone/Vilanterol
66
Symbicort
Budesonide/Formoterol Fumarate
66
Spiriva Respimat
Tiotropium Bromide
57
Incruse Ellipta
Umeclidinium Bromide
47
Dulera
Mometasone/Formoterol
44
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
44
Advair Hfa
Fluticasone Propion/Salmeterol
40

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How JANNICA GROOM, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JANNICA GROOM, MD's 1,214 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as GROOM.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JANNICA GROOM, MD's specialty?
JANNICA GROOM, MD specializes in Pulmonary Disease Physician and practices in ST PAUL, Minnesota. Credentials: MD.
How much does JANNICA GROOM, MD prescribe under Medicare Part D?
In 2023, JANNICA GROOM, MD wrote 1,214 Medicare Part D claims totaling $549K in drug costs for 128 beneficiaries.
Where is JANNICA GROOM, MD located?
JANNICA GROOM, MD is located at 401 PHALEN BOULEVARD, ST PAUL, MN, 55101. Phone: (651) 254-7670.
What is JANNICA GROOM, MD's NPI number?
JANNICA GROOM, MD's National Provider Identifier (NPI) is 1831162395, issued on 02/07/2006.
Does JANNICA GROOM, MD prescribe more brand-name or generic drugs?
JANNICA GROOM, MD's prescribing is 63% brand-name and 37% generic drugs by claim count, with $533K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JANNICA GROOM, MD prescribe most often?
Based on 2023 Medicare Part D data, JANNICA GROOM, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Prednisone, Budesonide-Formoterol Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JANNICA GROOM, MD accept Medicare?
JANNICA GROOM, MD appears in CMS Medicare data with 1,214 Part D claims and 128 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JANNICA GROOM, MD's credentials?
JANNICA GROOM, MD's NPI is 1831162395 with credentials MD. 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

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