DR. MARY CLARKE GROOMS MD
NPI 1568449254
Pediatrics in Gainesville, FL

Q: What is Mary Grooms's NPI number?

The NPI number for Mary Grooms is 1568449254. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Q: What is Mary Grooms's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Grooms was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since December 23, 2005PECOS Enrolled

6440 W NEWBERRY RD, STE 402, GAINESVILLE, FL 32605(352) 332-5500(352) 332-5506 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Mary Clarke Grooms Md NPPES

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

DR. MARY CLARKE GROOMS MD (NPI 1568449254) is an individual pediatrics provider in Gainesville, Florida, licensed in Florida (ME84259) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568449254

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MARY CLARKE GROOMSCredential: MD

Location Address6440 W NEWBERRY RD, STE 402Gainesville, FL 32605-4381

Mailing Address6440 W Newberry Rd, Ste 402Gainesville, FL 32605-4381 · (352) 333-5500 · Fax (352) 333-5506

Phone(352) 332-5500

Fax(352) 332-5506

Sole ProprietorNo

Enumeration DateDecember 23, 2005

Last NPPES UpdateDecember 9, 2010

✔ NPI 1568449254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME84259

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License ME84259 (FL)

6440 W NEWBERRY RD, Gainesville, FL 32605

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Other Identifiers 4

Medicare UPINH78261

Medicaid266131400FL

Medicare PIN28007XFL

Medicare PIN28007Y

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Dr. Mary Clarke Grooms Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mary Grooms reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Clinical Practice Association Inc

4.3 mi

Surgery

1600 SW ARCHER RD
Gainesville, FL 32610

Reassigned Medicare billing, Florida enrollment
3,324 clinicians in this Medicare group

NPI 1063463768 (352) 265-7922

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 32605 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

STEPHEN SMYTH BEEBE MD FACP

Pediatrics (Adolescent Medicine)

6440 W NEWBERRY RD, #402
GAINESVILLE, FL 32605

Alachua County (352) 333-5500

DR. CHARLES T KLODELL JR. MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

6440 W NEWBERRY RD, SUITE 102
GAINESVILLE, FL 32605

Alachua County (352) 333-5610

KRISTIN FOERSTER ARNP

Nurse Practitioner (Obstetrics & Gynecology)

6440 W NEWBERRY RD, SUITE 508
GAINESVILLE, FL 32605

Alachua County (352) 332-7222

JEAN COOK M.D.

Obstetrics & Gynecology

6440 W NEWBERRY RD, SUITE 508
GAINESVILLE, FL 32605

Alachua County (352) 332-7222

DR. GREGORY J BAILEY MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

6440 W NEWBERRY RD, #409
GAINESVILLE, FL 32605

Alachua County (352) 333-6161

SANDRA CONNELL CST

Registered Nurse

6440 W NEWBERRY RD, SUITE 401
GAINESVILLE, FL 32605

Alachua County (352) 332-0030

CAROLE A KALIVODA ARNP

Nurse Practitioner

6440 W NEWBERRY RD, SUITE 409
GAINESVILLE, FL 32605

Alachua County (352) 333-6161

DR. ERIC W SCOTT MEDICAL DOCTOR

Neurological Surgery

6440 W NEWBERRY RD, SUITE 401
GAINESVILLE, FL 32605

Alachua County (352) 332-0030

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 Mary Grooms's NPI number?

The NPI number for Mary Grooms is 1568449254. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Mary Grooms located?

Mary Grooms practices at 6440 W Newberry Rd Ste 402, Gainesville, FL 32605. The listed phone number is (352) 332-5500.

What is Mary Grooms's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mary Grooms enrolled in Medicare?

Yes. Mary Grooms is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Grooms's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Grooms reassigns Medicare benefits to Florida Clinical Practice Association Inc (Gainesville, FL). The 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 Mary Grooms's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Grooms accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 1 other insurer list Mary Grooms 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 Mary Grooms was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.