DONALD GROVES M.D.
NPI 1831543149
Plastic Surgery in Los Angeles, CA

Active since April 22, 2016PECOS Enrolled
11600 W PICO BLVD, LOS ANGELES, CA 90064(412) 498-0020 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Donald Groves M.d. NPPES

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

DONALD GROVES M.D. (NPI 1831543149) is an individual plastic surgery provider in Los Angeles, California, licensed in California (A190511) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2016).

NPPES Registry Identity

NPI1831543149
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDONALD GROVESCredential: M.D.
Location Address11600 W PICO BLVDLos Angeles, CA 90064-2909
Mailing Address11600 W Pico BlvdLos Angeles, CA 90064-2909
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2016
Enumeration DateApril 22, 2016
Last NPPES UpdateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1831543149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A190511
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
11600 W PICO BLVD, Los Angeles, CA 90064

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Groves M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436628682
PECOS Enrollment IDI20260515003737
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 Donald Groves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group

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 90064 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 2

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

Radiologic Technologist (Sonography)
11600 W PICO BLVD
LOS ANGELES, CA 90064
Radiologic Technologist (Sonography)
11600 W PICO BLVD
LOS ANGELES, CA 90064

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 Donald Groves's NPI number?

The NPI number for Donald Groves is 1831543149. It was assigned to this individual provider in the NPPES registry on April 22, 2016.

Where is Donald Groves located?

Donald Groves practices at 11600 W Pico Blvd, Los Angeles, CA 90064. The listed phone number is (412) 498-0020.

What is Donald Groves's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Donald Groves enrolled in Medicare?

Yes. Donald Groves is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donald Groves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Groves reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). 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 Donald Groves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Groves was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.