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LESLEY GROVES N.P.
NPI 1497936173
Nurse Practitioner - Family in Clarksburg, WV

Active since November 21, 2007PECOS EnrolledAccepts Medicare Assignment
700 OAKMOUND RD, CLARKSBURG, WV 26301(304) 623-6330(304) 623-6220 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lesley Groves N.p. NPPES

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

LESLEY GROVES N.P. (NPI 1497936173) is an individual family provider in Clarksburg, West Virginia, licensed in West Virginia (64626) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1497936173
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLEY GROVESCredential: N.P.
Location Address700 OAKMOUND RDClarksburg, WV 26301-9398
Mailing Address700 Oakmound RdClarksburg, WV 26301-9398 · (304) 623-6330 · Fax (304) 623-6220
Phone(304) 623-6330
Fax(304) 623-6220
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 21, 2007
Last NPPES UpdateAugust 24, 2022
NPPES CertifiedAugust 24, 2022
✔ NPI 1497936173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 64626
700 OAKMOUND RD, Clarksburg, WV 26301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Lesley Groves N.p. 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 ID6800971268
PECOS Enrollment IDI20080310000142, I20241015001446
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

2

Medicare enrollment records show Lesley Groves reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.
Same address
Federally Qualified Health Center (FQHC)
700 OAKMOUND RD
Clarksburg, WV 26301
NPI 1053742668 (304) 924-6262
Community Care Of West Virginia, Inc.
17 mi
Federally Qualified Health Center (FQHC)
133 STAUNTON DR
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 28 clinicians in this Medicare group
NPI 1275271611 (304) 473-5600

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 26301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
60%116 patients3/55-star benchmark: 93%
Cervical Cancer Screening
44%287 patients2/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
29%31 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
45%213 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
83%103 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
44%55 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
20%55 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%698 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
34%56 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
85%561 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
93%553 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
53%554 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 418 patients
Patients screened: 90% · 418 patients
71%143 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%77 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 61 patients
Patients totalRate: 16% · 61 patients
16%61 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

COMMUNITY CARE OF WEST VIRGINIA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 924-6262
SETH MICHAEL MILLER FNP-C
Nurse Practitioner (Family)
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 623-6330
VANESSA BRYANA MCGANN PA-C
Physician Assistant
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 623-6330
DR. MATTHEW DUANE PLETCHER PHARMD
Pharmacist
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 848-5898
ROXANNE YONG SMART FNP-C
Nurse Practitioner (Family)
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 623-6330
GREGORY CLARK TASSOS
Case Manager/Care Coordinator
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 623-6330
BRANDY NICOLE PHARES FNP
Nurse Practitioner (Family)
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 623-6330
ANN MARIE WHITEHAIR FNP
Nurse Practitioner (Family)
700 OAKMOUND RD
CLARKSBURG, WV 26301
Harrison County (304) 623-6330

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 Lesley Groves's NPI number?

The NPI number for Lesley Groves is 1497936173. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Lesley Groves located?

Lesley Groves practices at 700 Oakmound Rd, Clarksburg, WV 26301. The listed phone number is (304) 623-6330.

What is Lesley Groves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lesley Groves enrolled in Medicare?

Yes. Lesley 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 Lesley Groves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lesley Groves reassigns Medicare benefits to 2 organizations: Community Care Of West Virginia, Inc. (Clarksburg, WV) and Community Care Of West Virginia, Inc. (Weston, WV). 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 Lesley Groves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lesley Groves accept?

Health plans from CareSource list Lesley 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.

When was this NPI record last updated?

The NPPES record for Lesley Groves was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.