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PAYTON ELISE GROFF AGACNP
NPI 1235953100
Nurse Practitioner - Acute Care in San Antonio, TX

Active since November 08, 2024PECOS Enrolled
4458 MEDICAL DR STE 505, SAN ANTONIO, TX 78229(210) 690-7400 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2024, Nov 12, 2024, Nov 8, 2024 (3 updates tracked since 2024).

About Payton Elise Groff Agacnp NPPES

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

PAYTON ELISE GROFF AGACNP (NPI 1235953100) is an individual acute care provider in San Antonio, Texas, licensed in Texas (1038691) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235953100
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NamePAYTON ELISE GROFFCredential: AGACNP
Location Address4458 MEDICAL DR STE 505San Antonio, TX 78229-3748
Mailing Address10422 Huebner Rd Apt 1603San Antonio, TX 78240-1387 · (210) 860-6141
Phone(210) 690-7400
Sole ProprietorNo
Enumeration DateNovember 8, 2024
Last NPPES UpdateNovember 21, 20243 updates tracked since enumeration
NPPES CertifiedNovember 21, 2024
✔ NPI 1235953100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1038691
4458 MEDICAL DR STE 505, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community First, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Payton Elise Groff Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Payton Groff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Ips LLC
Same address
Pulmonary Disease
4458 MEDICAL DR STE 505
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 110 clinicians in this Medicare group
NPI 1629368535 (210) 690-7400

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

DR. BRAVEIN AMALAKUHAN M.D.
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400
SANTOSH SUBRAMANYAM M.D.
Internal Medicine (Nephrology)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400
KIMBERLY ANN BOOTH NP
Nurse Practitioner (Acute Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400
DR. PRAVEEN BELUR M.D.
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400
CESAR EDUARDO ESCAMILLA-OCANAS MD
Psychiatry & Neurology (Neurocritical Care)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (713) 798-1000
AKSHAR CHAUHAN MD
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400
ARISTIDES JOSE ARMAS VILLALBA MD
Internal Medicine (Pulmonary Disease)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400
DR. ENRIQUE O. ORTIZ-DIAZ M.D.
Internal Medicine (Critical Care Medicine)
4458 MEDICAL DR STE 505
SAN ANTONIO, TX 78229
Bexar County (210) 690-7400

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 Payton Groff's NPI number?

The NPI number for Payton Groff is 1235953100. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Where is Payton Groff located?

Payton Groff practices at 4458 Medical Dr Ste 505, San Antonio, TX 78229. The listed phone number is (210) 690-7400.

What is Payton Groff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Payton Groff enrolled in Medicare?

Yes. Payton Groff is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Payton Groff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Payton Groff reassigns Medicare benefits to Texas Ips LLC (San Antonio, TX). The 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 Payton Groff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Payton Groff accept?

Health plans from Blue Cross and Blue Shield of Texas, Community First and Oscar Insurance Company list Payton Groff 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 Payton Groff was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.