Active NPI 1528281276 Individual Practitioner Male Practitioner

Dr. Joshua Richard Groves , MD

Surgery - Plastic and Reconstructive Surgery • Macon, GA

Professional Overview & Biography Verified Profile Summary

Dr. Joshua Groves, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Macon, GA. With approximately 25 years of clinical experience since graduating from Mercer University School Of Medicine in 2001, Dr. Groves delivers high-quality medical care to the local community at 6326 PEAKE RD.

Dr. Groves does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6326 Peake Rd

Macon, GA 312103960

Telephone 4782546608

Fax 4782546689

Associated Practice Facility / Clinic

🏢 The Georgia Center For Plastic And Reconstructive Surgery, Pc Facility NPI 1760786024

Medicare Profile & Education

Medical School

Mercer University School Of Medicine

Graduation Year

2001

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Macon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -5.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Macon, GA (87 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Groves (25 Years) 25 Yrs

Macon Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$399.00	$149.06
99213 Established patient office or other outpatient visit, typically 15 minutes	24	15	$191.00	$80.27
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	15	$1441.00	$269.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$238.00	$99.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$375.49	$154.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$429.00	$166.99
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$832.00	$84.01
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	19	19	$1441.00	$274.07
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	14	$1290.00	$228.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$363.00	$158.87
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	23	$1441.00	$275.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	20	$235.00	$121.07
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	21	18	$1290.00	$208.45
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	15	$1163.00	$75.79
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$832.00	$85.73
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	15	$2374.00	$614.10
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	15	$1441.00	$429.63
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	14	$1163.00	$113.85
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$174.00	$85.27
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1290.00	$382.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$238.00	$98.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$363.00	$160.47
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$164.00	$68.99
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	27	26	$1441.00	$273.96
99213 Established patient office or other outpatient visit, typically 15 minutes	23	15	$170.35	$86.81
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	16	14	$1290.00	$208.83
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	11	$886.63	$76.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$235.00	$123.49
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$832.00	$86.45
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$2374.00	$596.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$407.00	$212.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$363.00	$155.47
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$407.00	$191.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$363.00	$157.83
99213 Established patient office or other outpatient visit, typically 15 minutes	16	14	$160.00	$70.60
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$407.00	$198.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$363.00	$149.26
99213 Established patient office or other outpatient visit, typically 15 minutes	18	16	$160.00	$65.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	21	$160.00	$64.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$363.00	$146.29
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$407.00	$184.86

Medical Specialties & State Licenses

CMS Verified: 2020-09-25

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License GA 052731

A surgeon who specializes in plastic and reconstructive surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Elizabeth Moore , NP

Nurse Practitioner

NPI 1982330403

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location September 25, 2020

Registered at 6326 PEAKE RD, MACON, GA 312103960 (Tel: 4782546608)

📍

Updated Business Mailing Address September 25, 2020

Registered at 6326 PEAKE RD, MACON, GA 312103960 (Tel: 4782546608)

✅

NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 02, 2011

Registered at 6501 PEAKE RD, SUITE 1000, MACON, GA 312108042 (Tel: 4782546608)

📍

Updated Business Mailing Address February 02, 2011

Registered at 6501 PEAKE RD, SUITE 1000, MACON, GA 312108042 (Tel: 4782546608)

👤

Provider Name / Credentials Updated February 02, 2011

Recorded as JOSHUA GROVES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Surgery (License #052731 in GA)

🟢

Initial NPI Registration & Enumeration April 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528281276

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 11, 2007

Last Update: September 25, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6326 Peake Rd

Macon, GA 312103960

Phone: 4782546608

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.