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: August 02, 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
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.
11215 METRO PKWY STE 1, Fort Myers, FL 33966

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

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

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.

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.

Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966
Psychiatry & Neurology (Neurology)
11215 METRO PKWY STE 1
FORT MYERS, FL 33966

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.

What insurance does Benjamin Groves accept?

Health plans from Blue Cross and Blue Shield of Kansas City, CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Medica and 1 other insurer 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.