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DR. AMY O. GROFF M.D.
NPI 1922068568
Specialist in Raleigh, NC

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.1/100
CMS Quality Rating
4414 LAKE BOONE TRL, SUITE 300, RALEIGH, NC 27607(919) 781-5510(919) 781-5053 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Amy O. Groff M.d. NPPES

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

DR. AMY O. GROFF M.D. (NPI 1922068568) is an individual specialist in Raleigh, North Carolina, licensed in North Carolina (9601467) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Duke University School Of Medicine (1995).

NPPES Registry Identity

NPI1922068568
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. AMY O. GROFFCredential: M.D.
Location Address4414 LAKE BOONE TRL, SUITE 300Raleigh, NC 27607-7513
Mailing Address7041 Ebenezer Church RdRaleigh, NC 27612-1855 · (919) 781-5510 · Fax (919) 781-5053
Phone(919) 781-5510
Fax(919) 781-5053
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1995
Enumeration DateMarch 27, 2006
Last NPPES UpdateMarch 24, 2015
✔ NPI 1922068568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 9601467
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4414 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Other Identifiers 6

Other755344NC · United Healthcare
Medicare ID-Type Unspecified2270401NC
Medicaid891208TNC
Other1208TNC · Bc/bs
Medicare UPING94566NC
Other32909NC · Partners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Amy O. Groff 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 ID8123144987
PECOS Enrollment IDI20101011000193
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 4

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
38 services38 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
37 services37 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
22 services22 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.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

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.

91.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.09
Promoting Interoperability100
Improvement Activities40
Cost80.24

Reported Quality Measures

Breast Cancer Screening
62%537 patients3/55-star benchmark: 93%
Cervical Cancer Screening
99%1,340 patients5/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
36%116 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
58%873 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
99%1,974 patients4/55-star benchmark: 100%
e-Prescribing
100%567 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
91%1,458 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%1,766 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 1,416 patients
1%1,416 patients
Provide Patients Electronic Access to Their Health Information
100%651 patients5/55-star benchmark: 100%
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.

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.

RALEIGH OB/GYN CENTRE, PA
Specialist
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 875-8225
DR. MYRA LYNN TEASLEY M.D.
Specialist
4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Wake County (919) 781-5510
SACHIN S MUDVARI MD
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607
Wake County (919) 782-8038
STOCKS SURGICAL CENTER, PLLC
Specialist
4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Wake County (919) 850-0880
ERIN C. BURNETTE NP
Nurse Practitioner (Family)
4414 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 781-5510
NORTH RALEIGH CARDIOVASCULAR DISEASES PA
Specialist
4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607
Wake County (919) 790-0130
DR. JENIFER RAE BRISCOE-BRIMMAGE MD
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 876-8225
MR. JAMES GLENDON TRENNER P.A.-C
Physician Assistant (Medical)
4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607
Wake County (919) 875-0539

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 Amy Groff's NPI number?

The NPI number for Amy Groff is 1922068568. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Amy Groff located?

Amy Groff practices at 4414 Lake Boone Trl Suite 300, Raleigh, NC 27607. The listed phone number is (919) 781-5510.

What is Amy Groff's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Amy Groff enrolled in Medicare?

Yes. Amy 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 Amy Groff accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Amy 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 Amy Groff affiliated with any hospitals?

According to CMS data, Amy Groff is affiliated with Wakemed, Raleigh Campus.

When was this NPI record last updated?

The NPPES record for Amy Groff was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.