JAMES E GROVE OD
NPI 1992776488
Optometrist in Chambersburg, PA

Active since February 01, 2006PECOS EnrolledAccepts Medicare Assignment
90.25/100
CMS Quality Rating
825 FIFTH AVENUE, SUITE 102, CHAMBERSBURG, PA 17201(717) 262-9700(717) 262-9702 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James E Grove Od NPPES

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

JAMES E GROVE OD (NPI 1992776488) is an individual optometrist in Chambersburg, Pennsylvania, licensed in Pennsylvania (OEG000006) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1991).

NPPES Registry Identity

NPI1992776488
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAMES E GROVECredential: OD
Location Address825 FIFTH AVENUE, SUITE 102Chambersburg, PA 17201
Mailing Address825 Fifth Avenue, Suite 102Chambersburg, PA 17201 · (717) 262-9700 · Fax (717) 262-9702
Fax(717) 262-9702
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1991
Enumeration DateFebruary 1, 2006
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
NPI 1992776488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PA · OEG000006
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

825 FIFTH AVENUE, Chambersburg, PA 17201

Other Identifiers 4

OtherDA7401PA · Railroad Medicare
Medicaid0015389300008PA
Medicaid0019400370003PA
OtherP00070100Railroad Medicare

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

James E Grove Od 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 ID4688775430
PECOS Enrollment IDI20070723000754
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
1,939 services1,610 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
557 services539 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
540 services336 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).
503 services494 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
283 services281 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
228 services223 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

90.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost67.5

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers12 claims12 services$37.90 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 2

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

Optometrist
825 FIFTH AVENUE, SUITE 102
CHAMBERSBURG, PA 17201
Optometrist
825 FIFTH AVENUE, SUITE 102
CHAMBERSBURG, PA 17201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992776488, enumerated as an "individual" on February 01, 2006.

The provider is located at 825 FIFTH AVENUE SUITE 102 CHAMBERSBURG, PA 17201 and the phone number is (717) 262-9700.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.