DR. JAMES A GROFF DO
NPI 1912959107
Internal Medicine - Nephrology in Lancaster, PA

Q: What is James Groff's NPI number?

The NPI number for James Groff is 1912959107. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is James Groff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for James Groff was last updated on December 2, 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 May 16, 2006PECOS EnrolledAccepts Medicare Assignment

2112 HARRISBURG PIKE, SUITE 312, LANCASTER, PA 17604(717) 544-3232(717) 544-3233 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. James A Groff Do NPPES

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

DR. JAMES A GROFF DO (NPI 1912959107) is an individual nephrology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (OS-007680-L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1912959107

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JAMES A GROFFCredential: DO

Location Address2112 HARRISBURG PIKE, SUITE 312Lancaster, PA 17604-3200

Mailing Address2112 Harrisburg Pike, Suite 312Lancaster, PA 17604-3200 · (717) 544-3232 · Fax (717) 544-3233

Phone(717) 544-3232

Fax(717) 544-3233

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1991

Enumeration DateMay 16, 2006

Last NPPES UpdateDecember 2, 2010

✔ NPI 1912959107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · OS-007680-L

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2112 HARRISBURG PIKE, Lancaster, PA 17604

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Other Identifiers 3

Medicaid1585190PA

Medicare UPINF42641PA

Medicare ID-Type Unspecified186662GQCPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. James A Groff Do 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 ID547179004

PECOS Enrollment IDI20040407000639

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 13

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.

387 services264 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

234 services121 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

173 services36 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services67 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.

54 services53 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

46 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

37 services37 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

27 services27 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

27 services18 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

25 services16 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

17 services17 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

13 services11 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390339

Location2160 State RoadLancaster, PA 17601 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17604 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers12 claims12 services$18.88 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 8

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

DR. MARC H WEINER MD

Internal Medicine (Nephrology)

2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17604

Lancaster County (717) 544-3232

JOANNE VAN DASK CRNP

Internal Medicine (Nephrology)

2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17604

Lancaster County (717) 544-3232

LANCASTER PA ENDOSCOPY ASC LLC

Clinic/Center (Ambulatory Surgical)

2112 HARRISBURG PIKE, SUITE 323
LANCASTER, PA 17604

Lancaster County (717) 544-3569

DR. SUSAN K CIAMPAGLIA DO

Internal Medicine (Nephrology)

2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17604

Lancaster County (717) 544-3232

LARRY A BELL DPM

Clinic/Center (Podiatric)

2112 HARRISBURG PIKE, SUITE 1
LANCASTER, PA 17604

Lancaster County (717) 544-3577

DR. JEFFERY N LEVINE DO

Internal Medicine (Nephrology)

2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17604

Lancaster County (717) 544-3232

DR. JEFFREY L MARTIN MD

Internal Medicine (Nephrology)

2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17604

Lancaster County (717) 544-3232

DR. CHARLES H RODENBERGER MD

Internal Medicine (Nephrology)

2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17604

Lancaster County (717) 544-3232

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 James Groff's NPI number?

The NPI number for James Groff is 1912959107. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is James Groff located?

James Groff practices at 2112 Harrisburg Pike Suite 312, Lancaster, PA 17604. The listed phone number is (717) 544-3232.

What is James Groff's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is James Groff enrolled in Medicare?

Yes. James Groff 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 James Groff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Groff 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 James Groff affiliated with any hospitals?

According to CMS data, James Groff is affiliated with Wellspan Good Samaritan Hospital, Lancaster General Hospital, Wellspan Ephrata Community Hospital and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for James Groff was last updated on December 2, 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.