Claire Mcgroder, M.D.
NPI 1396130886 · Pulmonary Disease Physician · New York, NY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Claire Mcgroder, M.D. is a Pulmonary Disease Physician provider in New York, NY (NPI 1396130886).
Provider details
- NPI number
- 1396130886
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 292346 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
995 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Test to Examine How Well the Lungs Exchange Gases94729 | 175 | $10 |
| Test to Measure Expiratory Airflow and Volume94010 | 172 | $9 |
| Test to Measure Rate of Airflow94375 | 170 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 141 | $212 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 57 | $261 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 89 | 15 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 69 | 27 |
| Umeclidinium Bromidebrand: Incruse Ellipta | 50 | — |
| Prednisone | 39 | 23 |
| Nintedanib Esylatebrand: Ofev | 34 | 11 |
| Mometasone/Formoterolbrand: Dulera | 25 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$96 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Frequently asked questions
- What is Claire Mcgroder's NPI number?
- Claire Mcgroder's National Provider Identifier (NPI) is 1396130886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Claire Mcgroder's specialty?
- Claire Mcgroder is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Claire Mcgroder located?
- Claire Mcgroder's practice location on file with NPPES is 161 Fort Washington Ave Fl 3, New York, NY 10032-3729.
- What is Claire Mcgroder's phone number?
- The practice phone number listed in the NPPES registry for Claire Mcgroder is (212) 305-8203.
- Does Claire Mcgroder accept Medicare?
- Claire Mcgroder is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Claire Mcgroder's NPI active?
- Yes — Claire Mcgroder's NPI (1396130886) is active in the NPPES registry as of the last update on 2024-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.