DR. ERICH B GROOS JR. M.D.
NPI 1720084601
Ophthalmology in Nashville, TN

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
95.88/100
CMS Quality Rating
2400 PATTERSON ST, SUITE 201, NASHVILLE, TN 37203(615) 320-7200(615) 320-7203 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Erich B Groos Jr. M.d. NPPES

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

DR. ERICH B GROOS JR. M.D. (NPI 1720084601) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Tennessee (MD23890) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1987).

NPPES Registry Identity

NPI1720084601
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. ERICH B GROOS JR.Credential: M.D.
Location Address2400 PATTERSON ST, SUITE 201Nashville, TN 37203-1562
Mailing Address2400 Patterson St, Suite 201Nashville, TN 37203-1562 · (615) 320-7200 · Fax (615) 320-7203
Fax(615) 320-7203
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1987
Enumeration DateJune 24, 2005
Last NPPES UpdateMay 19, 2020
NPPES CertifiedMay 19, 2020
NPI 1720084601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TN · MD23890
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedSpecialistTaxonomy 174400000X · License 23890 (TN)
2400 PATTERSON ST, Nashville, TN 37203

Other Identifiers 13

Other180019311TN · Rail Road Medicare
Other2616397006TN · Cigna
Other3126357TN · Tenncare Select
Other621745543TN · Humana
OtherOP34694TN · United Healthcare
Medicaid3717165TN
OtherF01637TN · Healthspring
Other4243673TN · Aetna
Other00001364TN · Nhc Health Benefits Plan
Other3126357TN · Bcbs
Other3126357TN · Central States
OtherF01637TN · Sterling Claims
Other621745543000TN · Prudential

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

Dr. Erich B Groos Jr. 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 ID1355535030
PECOS Enrollment IDI20101027000937
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 19

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 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.
848 services829 patients
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.
736 services442 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
540 services314 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
428 services362 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
345 services206 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
249 services185 patients

Hospital Affiliations CMS Care Compare

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

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37203 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

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.

95.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost86.28

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2400 PATTERSON ST, SUITE 215
NASHVILLE, TN 37203
Internal Medicine
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Nurse Practitioner (Primary Care)
2400 PATTERSON ST, SUITE 400
NASHVILLE, TN 37203
Physician Assistant (Surgical)
2400 PATTERSON ST, SUITE 300
NASHVILLE, TN 37203
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2400 PATTERSON ST, SUITE 502
NASHVILLE, TN 37203
Nurse Practitioner (Acute Care)
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203
Neurological Surgery
2400 PATTERSON ST, SUITE 319
NASHVILLE, TN 37203
Physical Therapist
2400 PATTERSON ST, SUITE 100
NASHVILLE, TN 37203

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 Erich Groos's NPI number?

The NPI number for Erich Groos is 1720084601. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Erich Groos located?

Erich Groos practices at 2400 Patterson St Suite 201, Nashville, TN 37203. The listed phone number is (615) 320-7200.

What is Erich Groos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Erich Groos enrolled in Medicare?

Yes. Erich Groos 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 Erich Groos accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Erich Groos 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 Erich Groos affiliated with any hospitals?

According to CMS data, Erich Groos is affiliated with Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Erich Groos was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.