NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1831162395 MD
Verify on CMS → Jannica Groom, MD
Pulmonary Disease Physician in St Paul, Minnesota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
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
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
Jannica Groom, MD filed 1,214 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in St Paul, Minnesota, prescribing 37% generic.
- 1K
- Part D claims, 2023
- 37%
- 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.
Jannica Groom, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,214 Top 22% higher than 78% 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)
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).
What does the federal data show about Jannica Groom, MD?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,214 17% vs specialty avg
Specialty distribution in Minnesota
How Pulmonary Disease Physician compares to other specialties among Minnesota 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 Pulmonary Disease 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).
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.
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.
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
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%
Pulmonary Disease Physician average
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.
What Jannica Groom, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Albuterol Sulfate …
Albuterol Sulfate Hfa
138 claims
- Prednisone
Prednisone
91 claims
- Budesonide-Formote…
Budesonide-Formoterol Fumarate
70 claims
- Breo Ellipta
Breo Ellipta
66 claims
- Symbicort
Symbicort
66 claims
- Spiriva Respimat
Spiriva Respimat
57 claims
- Incruse Ellipta 47
Incruse Ellipta
47 claims
- Dulera 44
Dulera
44 claims
| 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.
Dr. Abdallah Abboud
M.D.
Minneapolis, MN
Dr. Timothy Aksamit
M.D.
Rochester, MN
Dr. Talal Almasri
MBBS
Rochester, MN
Dr. Ghadah Alrehaili
MBBS
Rochester, MN
Dr. Blair Anderson
MD
St Louis Park, MN
Compare Pulmonary Disease 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 Minnesota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
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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
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.