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DR. PAMELA GROVER M.D.
NPI 1649450990
Internal Medicine in Maplewood, NJ

Active since November 04, 2007PECOS EnrolledAccepts Medicare Assignment
2168 MILLBURN AVE, MAPLEWOOD, NJ 07040(973) 763-5765(973) 763-0505 Get Directions Write a Review

NPPES record last updated: November 4, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pamela Grover M.d. NPPES

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

DR. PAMELA GROVER M.D. (NPI 1649450990) is an individual internal medicine provider in Maplewood, New Jersey, licensed in New Jersey (25MA08290000) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2004).

NPPES Registry Identity

NPI1649450990
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAMELA GROVERCredential: M.D.
Location Address2168 MILLBURN AVEMaplewood, NJ 07040-2640
Mailing Address2168 Millburn AveMaplewood, NJ 07040-2640 · (973) 763-5765 · Fax (973) 763-0505
Phone(973) 763-5765
Fax(973) 763-0505
Sole ProprietorYes
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2004
Enumeration DateNovember 4, 2007
✔ NPI 1649450990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08290000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2168 MILLBURN AVE, Maplewood, NJ 07040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Dr. Pamela Grover 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 ID2769513605
PECOS Enrollment IDI20100622000074
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 Pamela Grover reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Internal Medicine
2168 MILLBURN AVE
Maplewood, NJ 07040
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1306986914 (973) 763-5765
Grover Medical Associates, LLC
Same address
Internal Medicine
2168 MILLBURN AVE, SUITE 101
Maplewood, NJ 07040
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1457745572 (973) 763-5765

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 7

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 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.
203 services74 patients
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.
103 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
54 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
48 services47 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
42 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
8%201 patients1/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
16%89 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%171 patients4/55-star benchmark: 90%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
31%409 patients2/55-star benchmark: 88%
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims21 services$4.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JUSTIN JAY FRIED D.D.S.
Dentist
2168 MILLBURN AVE, SUITE 201
MAPLEWOOD, NJ 07040
Essex County (973) 763-0808
GERARD L. GONSALVES, DMD, PA
Dentist (General Practice)
2168 MILLBURN AVE, SUITE 102
MAPLEWOOD, NJ 07040
Essex County (973) 763-1300
JAMES S. PAOLINO, M.D., PA
Specialist
2168 MILLBURN AVE, SUITE 205
MAPLEWOOD, NJ 07040
Essex County (973) 762-3738
DR. KHALIL AHMED KAID
Internal Medicine (Cardiovascular Disease)
2168 MILLBURN AVE, SUITE 204
MAPLEWOOD, NJ 07040
Essex County (973) 762-3353
DR. ARVIND K GROVER M.D.
Internal Medicine
2168 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5765
DANIEL HUGH GALLAGHER PH.D.
Psychologist (Clinical)
2168 MILLBURN AVE, SUITE 104
MAPLEWOOD, NJ 07040
Essex County (973) 762-2880
DR. NEAL HOWARD LITINGER PH.D.
Psychologist (Clinical)
2168 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (201) 445-0779
DR. RAJENDER KUMAR ARORA MD
Internal Medicine (Gastroenterology)
2168 MILLBURN AVE, #205
MAPLEWOOD, NJ 07040
Essex County (973) 994-3203

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 Pamela Grover's NPI number?

The NPI number for Pamela Grover is 1649450990. It was assigned to this individual provider in the NPPES registry on November 4, 2007.

Where is Pamela Grover located?

Pamela Grover practices at 2168 Millburn Ave, Maplewood, NJ 07040. The listed phone number is (973) 763-5765.

What is Pamela Grover's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pamela Grover enrolled in Medicare?

Yes. Pamela Grover 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 Pamela Grover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Grover reassigns Medicare benefits to 2 organizations: (Maplewood, NJ) and Grover Medical Associates, LLC (Maplewood, NJ). 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 Pamela Grover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pamela Grover accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Pamela Grover 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 Pamela Grover was last updated on November 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.