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KENNETH JUSTIN GROVER PA
NPI 1689393654
Physician Assistant in Boise, ID

Active since August 24, 2022PECOS EnrolledAccepts Medicare Assignment
620 W HAYS ST, BOISE, ID 83702(208) 381-2094(208) 381-1791 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Aug 31, 2023, Aug 24, 2022 (3 updates tracked since 2022).

About Kenneth Justin Grover Pa NPPES

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

KENNETH JUSTIN GROVER PA (NPI 1689393654) is an individual physician assistant in Boise, Idaho and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2023).

NPPES Registry Identity

NPI1689393654
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH JUSTIN GROVERCredential: PA
Location Address620 W HAYS STBoise, ID 83702-5511
Mailing AddressPo Box 1616Evansville, IN 47706-0018 · (800) 672-7210 · Fax (541) 758-3713
Phone(208) 381-2094
Fax(208) 381-1791
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023
Enumeration DateAugust 24, 2022
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2023
✔ NPI 1689393654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
620 W HAYS ST, Boise, ID 83702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Kenneth Justin Grover Pa 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 ID3274989983
PECOS Enrollment IDI20231031003048
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 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.

Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
40 services38 patients
Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
27 services21 patients
Injection of contrast through abdominal cavity tube for x-ray study 49424
This procedure involves injecting a contrast substance through a tube in your abdominal cavity. This helps to highlight certain areas in your body for an X-ray study. It's a crucial step for accurate diagnosis and treatment planning.
17 services14 patients
Fine needle aspiration biopsy using ultrasound guidance, first growth 10005
Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.
13 services13 patients
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older 36573
This procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.
11 services11 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REBEKAH LEE GOFORTH DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
620 W HAYS ST
BOISE, ID 83702
Ada County (208) 297-6167
BOISE RADIOLOGY GROUP PLLC
Radiology (Diagnostic Radiology)
620 W HAYS ST
BOISE, ID 83702
Ada County (208) 381-2094
CARL IRWIN ODOM MD
Radiology (Diagnostic Radiology)
620 W HAYS ST
BOISE, ID 83702
Ada County (208) 381-2094

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 Kenneth Grover's NPI number?

The NPI number for Kenneth Grover is 1689393654. It was assigned to this individual provider in the NPPES registry on August 24, 2022.

Where is Kenneth Grover located?

Kenneth Grover practices at 620 W Hays St, Boise, ID 83702. The listed phone number is (208) 381-2094.

What is Kenneth Grover's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Grover enrolled in Medicare?

Yes. Kenneth 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.

What insurance does Kenneth Grover accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Kenneth 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.

Is Kenneth Grover affiliated with any hospitals?

According to CMS data, Kenneth Grover is affiliated with St Luke's Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Grover was last updated on September 7, 2023. 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.