NPPES file of Aug 9, 2026

Megan Grotefend, MD

Family Medicine Physician · South Fork, CO

Megan Grotefend, MD is a family medicine physician with a practice address in South Fork, Colorado, and NPI 1861552960, issued on Dec 11, 2006. Check the license (Colorado 42313, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1861552960
Name
Megan Grotefend
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
42313 CO
98-315 NM
Self-reported in NPPES; status is on the state search
Practice location
52 Jackson Street, South Fork, CO 81154
Phone
(719) 873-5494
Enumerated
Dec 11, 2006
Record last updated
Jul 23, 2026
Fax
(719) 873-5488
Medicaid ID
9000138971 CO
Medicare enrollment
Enrolled (PECOS I20120925000498); accepts Medicare assignment
Medical or professional school
University Of New Mexico School Of Medicine, 1995
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Megan Grotefend in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersColorado Medical Board
    Search for license 42313
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Colorado license search

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93% fewer Medicare Part D claims than the average family medicine physician in 2024

238 Medicare Part D claims for 181 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.

  1. Megan Grotefend238
  2. Specialty average3,544

Most prescribed

  1. Ipratropium Bromide65 claims
  2. Cephalexin33 claims
  3. Prednisone20 claims
  4. Ciprofloxacin Hcl13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 82.5 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score76.1
  2. Costout of 100 · 30%54.8
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. San Juan Regional Medical Center, Inc.Farmington, NM

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Megan Grotefend among 3,563 family medicine physician records in Colorado

Megan Grotefend, MD is one of 3,563 family medicine physician records with a practice address in Colorado. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.

  • NPI issued2006 · 12% of these records are older, 56% newer
  • In a Medicare fileYes · 76% of these records are
  • In the CMS Doctors and Clinicians fileYes · 58% of these records are
  • Graduated1995 · median 2008 among the 2,077 with a school on file
  • Record last updated2026 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Family Medicine Physician providers in Colorado

There are 3,563 family medicine physician records in Colorado.

The 8 family medicine physician records with the nearest ZIP codes

  1. Joseph Quintana, MDSan Luis, CO 811521265503676
  2. Robert Brown, M.D.Pagosa Springs, CO 811471316997638
  3. Julie Buchner, MDPagosa Springs, CO 811471336330158
  4. Joanna Estes, M.D.Pagosa Springs, CO 811471942422480
  5. Barton Giessel, M.D.Pagosa Springs, CO 811471578616504
  6. Nicholas Kurz, DOPagosa Springs, CO 811471265637037
  7. Emilie McIntyre, MDPagosa Springs, CO 811471689253080
  8. Carole Nasralla, MDPagosa Springs, CO 811471386672491

Common questions

What is Megan Grotefend, MD's NPI number?

Megan Grotefend, MD's National Provider Identifier (NPI) is 1861552960, issued on Dec 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Megan Grotefend, MD located?

The NPPES record lists a practice address at 52 Jackson Street, South Fork, CO, 81154. Phone: (719) 873-5494. Providers update this record themselves, so call before visiting.

How can I verify Megan Grotefend, MD's license?

NPPES lists Colorado license number 42313, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Megan Grotefend, MD prescribe under Medicare Part D?

In 2024, Megan Grotefend, MD had 238 Medicare Part D claims for 181 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Megan Grotefend, MD's MIPS final score?

The 2023 MIPS final score is 82.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.