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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES WILLIAM GROVES JR. M.D.
NPI 1386859106
Obstetrics & Gynecology in Lake Charles, LA

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
1890 W GAUTHIER RD, SUITE 130, LAKE CHARLES, LA 70605(337) 480-5530(337) 480-5531 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Mar 7, 2023, Aug 15, 2022 (3 updates tracked since 2022).

About Dr. James William Groves Jr. M.d. NPPES

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

DR. JAMES WILLIAM GROVES JR. M.D. (NPI 1386859106) is an individual obstetrics & gynecology provider in Lake Charles, Louisiana, licensed in Louisiana (201254) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Ochsner St Patrick Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2003).

NPPES Registry Identity

NPI1386859106
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES WILLIAM GROVES JR.Credential: M.D.
Location Address1890 W GAUTHIER RD, SUITE 130Lake Charles, LA 70605-7179
Mailing Address1890 W Gauthier Rd, Suite 130Lake Charles, LA 70605-7179 · (337) 480-5530 · Fax (337) 480-5531
Phone(337) 480-5530
Fax(337) 480-5531
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2003
Enumeration DateMay 14, 2007
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedAugust 15, 2022
✔ NPI 1386859106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in LA · 201254
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1890 W GAUTHIER RD, Lake Charles, LA 70605
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Other Identifiers 3

Medicaid1014826LA
Other201254LA · Medical License
OtherP00601494LA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Dr. James William Groves Jr. 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 ID7113009556
PECOS Enrollment IDI20080124000402
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

4

Medicare enrollment records show James Groves reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

J. William Groves, Jr., M.D., L.L.C.
0.5 mi
Obstetrics & Gynecology
1890 W GAUTHIER RD STE 130
Lake Charles, LA 70605
  • Reassigned Medicare billing, Louisiana enrollment
  • Medicare enrollment name: J William Groves Jr MD LLC
  • 2 clinicians in this Medicare group
NPI 1740545466 (337) 480-5530
Lcms Matthew G Scroggs, MD, LLC
0.5 mi
Obstetrics & Gynecology
1890 W GAUTHIER RD STE 140
Lake Charles, LA 70605
  • Reassigned Medicare billing, Louisiana enrollment
  • 6 clinicians in this Medicare group
NPI 1831491067 (337) 480-5570
West Louisiana Health Services Inc
48 mi
Obstetrics & Gynecology
600 S PINE ST
Deridder, LA 70634
  • Reassigned Medicare billing, Louisiana enrollment
  • 37 clinicians in this Medicare group
NPI 1164985495 (337) 462-7409
Dhp Of Louisiana PC
94 mi
Obstetrics & Gynecology
211 4TH ST
Alexandria, LA 71301
  • Reassigned Medicare billing, Louisiana enrollment
  • 34 clinicians in this Medicare group
NPI 1013303056 (864) 275-5049

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 4

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.
37 services34 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
18 services18 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.
17 services13 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Ochsner St Patrick Hospital

Acute Care Hospitals · Lake Charles, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190027
Location524 Dr Michael Debakey DriveLake Charles, LA 70601 · Calcasieu County
Emergency services

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Christus Ochsner Lake Area Hospital

Acute Care Hospitals · Lake Charles, LA
OwnershipVoluntary non-profit - Private
CMS Certification Number190201
Location4200 Nelson RoadLake Charles, LA 70605 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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 4

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

HOWARD M STELLY MD
Obstetrics & Gynecology
1890 W GAUTHIER RD, SUITE 155
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 477-6061
LCMS OBSTETRICS AND GYNECOLOGY LLC
Obstetrics & Gynecology
1890 W GAUTHIER RD, SUITE 135
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 480-5510
DAVID DARBONNE, M.D. APMC
Obstetrics & Gynecology
1890 W GAUTHIER RD
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 474-3883
DR. SAMUEL EDWARD SPREHE M.D.
Otolaryngology
1890 W GAUTHIER RD, 205
LAKE CHARLES, LA 70605
Calcasieu Parish (337) 494-5595

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 James Groves's NPI number?

The NPI number for James Groves is 1386859106. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is James Groves located?

James Groves practices at 1890 W Gauthier Rd Suite 130, Lake Charles, LA 70605. The listed phone number is (337) 480-5530.

What is James Groves's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Groves enrolled in Medicare?

Yes. James 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 James Groves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Groves reassigns Medicare benefits to 4 organizations: J. William Groves, Jr., M.D., L.L.C. (Lake Charles, LA), Lcms Matthew G Scroggs, MD, LLC (Lake Charles, LA), West Louisiana Health Services Inc (Deridder, LA) and Dhp Of Louisiana PC (Alexandria, LA). 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 James Groves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Groves accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list James 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.

Is James Groves affiliated with any hospitals?

According to CMS data, James Groves is affiliated with Christus Ochsner St Patrick Hospital, Lake Charles Memorial Hospital and Christus Ochsner Lake Area Hospital.

When was this NPI record last updated?

The NPPES record for James Groves was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.