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CYNTHIA RENEE GROVES M.D.
NPI 1073046561
Family Medicine in New Canaan, CT

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
28 EAST AVE, NEW CANAAN, CT 06840(203) 855-3757(203) 594-9521 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2023, Mar 29, 2021, Jun 25, 2020 and 1 more (4 updates tracked since 2017).

About Cynthia Renee Groves M.d. NPPES

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

CYNTHIA RENEE GROVES M.D. (NPI 1073046561) is an individual family medicine provider in New Canaan, Connecticut, licensed in Connecticut (66598) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073046561
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCYNTHIA RENEE GROVESCredential: M.D.
Location Address28 EAST AVENew Canaan, CT 06840-5516
Mailing Address28 East AveNew Canaan, CT 06840-5516 · (203) 855-3757 · Fax (203) 594-9521
Phone(203) 855-3757
Fax(203) 594-9521
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateMarch 6, 20234 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1073046561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 66598
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
28 EAST AVE, New Canaan, CT 06840
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cynthia Renee Groves M.d. 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 ID749698843
PECOS Enrollment IDI20210408002235
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cynthia Groves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nuvance Health Medical Practice Ct, Inc.
18 mi
Internal Medicine
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 818 clinicians in this Medicare group
NPI 1407898117 (203) 739-7742
Griffin Faculty Physicians, Inc.
25 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
67 MAPLE AVE, 2ND FLOOR
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 190 clinicians in this Medicare group
NPI 1598755605 (203) 732-1330

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

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.
259 services109 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services77 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
71 services71 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
34 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services28 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

ALEXANDRA GABRIELLE SCHIEBER D.O.
Family Medicine
28 EAST AVE
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 855-3757
ALICIA MASUCCI MD
Internal Medicine
28 EAST AVE
NEW CANAAN, CT 06840
Western Connecticut Planning Region (203) 855-3757

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 Cynthia Groves's NPI number?

The NPI number for Cynthia Groves is 1073046561. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Cynthia Groves located?

Cynthia Groves practices at 28 East Ave, New Canaan, CT 06840. The listed phone number is (203) 855-3757.

What is Cynthia Groves's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Cynthia Groves enrolled in Medicare?

Yes. Cynthia Groves 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.

Which organizations bill Medicare for Cynthia Groves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Groves reassigns Medicare benefits to 2 organizations: Nuvance Health Medical Practice Ct, Inc. (Danbury, CT) and Griffin Faculty Physicians, Inc. (Derby, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cynthia Groves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cynthia Groves accept?

Health plans from Anthem Blue Cross and Blue Shield list Cynthia Groves as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cynthia Groves was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.