DR. PRATEEK GROVER MD
NPI 1023372380
Physical Medicine & Rehabilitation in Hummelstown, PA

Active since July 01, 2012PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1135 OLDE W CHOCOLATE AVE, HUMMELSTOWN, PA 17036(717) 531-0003 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2023, Mar 11, 2023, Nov 15, 2021 and 3 more (6 updates tracked since 2016).

About Dr. Prateek Grover Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRATEEK GROVER MD (NPI 1023372380) is an individual physical medicine & rehabilitation provider in Hummelstown, Pennsylvania, licensed in Pennsylvania (MD480218) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1023372380
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. PRATEEK GROVERCredential: MD
Location Address1135 OLDE W CHOCOLATE AVEHummelstown, PA 17036-9188
Mailing Address500 University Drive, P.o. Box 850 Hp 28Hershey, PA 17033-2360
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 1, 2012
Last NPPES UpdateOctober 12, 20236 updates tracked since enumeration
NPPES CertifiedOctober 12, 2023
NPI 1023372380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
Licenses Licensed in PA · MD480218 Licensed in MO · 2015041559
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1135 OLDE W CHOCOLATE AVE, Hummelstown, PA 17036

Other Identifiers 1

Medicaid200033178MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Prateek Grover Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032348123
PECOS Enrollment IDI20230317002502
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
220 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services18 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
2 suppliers13 claims13 services$10.88 avg. paid by Medicare
Addition to lower extremity, test socket, below knee L5620
DME-Orthotic Devices · category DF003N
6 suppliers15 claims18 services$226.83 avg. paid by Medicare
Addition to lower extremity, below knee, acrylic socket L5629
DME-Orthotic Devices · category DF003N
7 suppliers16 claims17 services$236.80 avg. paid by Medicare
Addition to lower extremity, below knee, total contact L5637
DME-Orthotic Devices · category DF003N
6 suppliers15 claims16 services$235.33 avg. paid by Medicare
Addition to lower extremity, below knee, flexible inner socket, external frame L5645
DME-Orthotic Devices · category DF003N
5 suppliers13 claims14 services$658.27 avg. paid by Medicare
Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5671
DME-Orthotic Devices · category DF003N
7 suppliers17 claims18 services$493.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Occupational Therapist
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Nurse's Aide
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Physical Therapist
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Occupational Therapist
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Registered Nurse
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Physical Therapist
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036
Occupational Therapist
1135 OLDE W CHOCOLATE AVE
HUMMELSTOWN, PA 17036

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prateek Grover's NPI number?

The NPI number for Prateek Grover is 1023372380. It was assigned to this individual provider in the NPPES registry on July 1, 2012.

Where is Prateek Grover located?

Prateek Grover practices at 1135 Olde W Chocolate Ave, Hummelstown, PA 17036. The listed phone number is (717) 531-0003.

What is Prateek Grover's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Prateek Grover enrolled in Medicare?

Yes. Prateek Grover is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Prateek Grover affiliated with any hospitals?

According to CMS data, Prateek Grover is affiliated with Penn State Health Holy Spirit Medical Center and Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Prateek Grover was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.