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BENJAMIN CLARENCE GROVES MD
NPI 1396242202
Psychiatry & Neurology - Neurology in Fort Myers, FL

Active since April 07, 2018PECOS EnrolledAccepts Medicare Assignment
11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2024, Aug 29, 2023, Jan 4, 2023 and 1 more (4 updates tracked since 2022).

About Benjamin Clarence Groves Md NPPES

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

BENJAMIN CLARENCE GROVES MD (NPI 1396242202) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (ME157350) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Cookeville Regional Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396242202
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBENJAMIN CLARENCE GROVESCredential: MD
Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206
Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 208-2212
Phone(239) 208-2212
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018
Enumeration DateApril 7, 2018
Last NPPES UpdateJune 28, 20244 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1396242202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME157350✔ Licensed in OH · 35.146709✔ Licensed in TN · 66978✔ Licensed in MO · 2022043471
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11215 METRO PKWY STE 1, Fort Myers, FL 33966
Open in Google Maps ↗

Secondary Practice Locations 4

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111
Location 2630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000
Location 32790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201
Location 41 Medical Center BlvdCookeville, TN 38501-4294 · Phone (931) 783-5223 · Fax (931) 783-5123

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, CareSource, Cigna HealthCare of Arizona, Inc 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

Benjamin Clarence Groves 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 ID7012399033
PECOS Enrollment IDI20230428001265
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

15

Medicare enrollment records show Benjamin Groves reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Memorial Health System
3.5 mi
Federally Qualified Health Center (FQHC)
8925 COLONIAL CENTER DR STE 2001
Fort Myers, FL 33905
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1720715295 (239) 343-9567
Dchd Health Care Professionals LLC
45 mi
Specialist
900 NORTH ROBERT AVENUE
Arcadia, FL 34266
  • Reassigned Medicare billing, Georgia enrollment
  • 10 clinicians in this Medicare group
NPI 1346563897 (863) 494-8403
Columbus Ambulatory Healthcare Services, Inc.
448 mi
Family Medicine
1800 10TH AVE
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 391 clinicians in this Medicare group
NPI 1790733244 (706) 571-1120
Upson County Hospital Inc
459 mi
General Acute Care Hospital
801 W GORDON ST
Thomaston, GA 30286
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
NPI 1659376630 (706) 647-8111
Piedmont Hospitalist Physicians LLC
498 mi
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
NPI 1548219660 (770) 801-2500
Piedmont Athens Hospitalist Physicians LLC
521 mi
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
NPI 1578079000 (404) 367-3014
Cookeville Regional Medical Center
695 mi
Hospitalist
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 151 clinicians in this Medicare group
NPI 1023397031 (931) 783-5857
Virtual Neurology Texas PLLC
1,004 mi
Neurology
320 DECKER DR
Irving, TX 75062
  • Reassigned Medicare billing, Tennessee enrollment
  • 11 clinicians in this Medicare group
NPI 1467092114 (239) 208-2212
Mercy Medical Center
1,078 mi
Psychiatric Unit
1000 N. VILLAGE AVENUE
Rockville Centre, NY 11571
  • Reassigned Medicare billing, New York enrollment
  • 266 clinicians in this Medicare group
NPI 1487698544 (516) 705-2525
St. Joseph Hospital
1,087 mi
Specialist
4295 HEMPSTEAD TPKE
Bethpage, NY 11714
  • Reassigned Medicare billing, New York enrollment
  • 211 clinicians in this Medicare group
NPI 1881799153 (516) 338-5300

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 6

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.

Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth G0406
A follow-up inpatient consultation is a brief, 15-minute check-in with your doctor via telehealth. This allows your physician to monitor your progress, address any concerns, and adjust your treatment plan if necessary. It's an essential part of your ongoing care.
162 services108 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
59 services56 patients
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth G0408
A follow-up inpatient consultation is a service where your doctor checks on your health progress after initial treatment. It's complex and typically takes about 35 minutes via telehealth, which means you'll talk to your doctor remotely, using technology.
44 services37 patients
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth G0406
A follow-up inpatient consultation is a brief, 15-minute check-in with your doctor via telehealth. This allows your physician to monitor your progress, address any concerns, and adjust your treatment plan if necessary. It's an essential part of your ongoing care.
33 services21 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.
27 services18 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

STANLEY GARKEN LUE MD
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
FELIX GABRIEL RIVERA - PEREZ M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
WILLIAM FREDRICK DOTSON II M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
ANDREW LIN D.O.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
DR. WENDI IRENE KULIN MD
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
VANIOLKY LOSADA LEON
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
DR. JENNA RACHEL KANTER M.D.
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212
DR. VAIJAYANTEE KUMAR BELLE MD
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Lee County (239) 208-2212

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 Benjamin Groves's NPI number?

The NPI number for Benjamin Groves is 1396242202. It was assigned to this individual provider in the NPPES registry on April 7, 2018.

Where is Benjamin Groves located?

Benjamin Groves practices at 11215 Metro Pkwy Ste 1, Fort Myers, FL 33966. The listed phone number is (239) 208-2212.

What is Benjamin Groves's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Benjamin Groves enrolled in Medicare?

Yes. Benjamin 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 Benjamin Groves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Groves reassigns Medicare benefits to 15 organizations: Lee Memorial Health System (Fort Myers, FL), Dchd Health Care Professionals LLC (Arcadia, FL), Columbus Ambulatory Healthcare Services, Inc. (Columbus, GA), Upson County Hospital Inc (Thomaston, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA) and 10 more organizations, listed in the Medicare section above. 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 Benjamin Groves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Groves accept?

Health plans from Blue Cross and Blue Shield of Kansas City, CareSource, Cigna HealthCare of Arizona, Inc, Oscar Insurance Company and Taro Health list Benjamin 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 Benjamin Groves affiliated with any hospitals?

According to CMS data, Benjamin Groves is affiliated with Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Groves was last updated on June 28, 2024. 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.