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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: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2023, Aug 15, 2022 (2 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 Lake Charles Memorial 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 UpdateMarch 7, 20232 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

OtherP00601494LA · Railroad Medicare
Medicaid1014826LA
Other201254LA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.Insurance ›

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. 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.

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

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

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

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

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.

What insurance does James Groves accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana 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 Lake Charles Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Groves was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.