Active NPI 1013092428 Individual Practitioner Male Practitioner

Dr. James David Grove , OD

Optometrist • Urbana, OH

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. James Grove, OD is a registered Optometrist practitioner in Urbana, OH. With approximately 26 years of clinical practice since graduating from Ohio State University - College Of Optometry in 2000, Dr. Grove provides healthcare services at the registered practice location at 303 N MAIN ST.

Dr. Grove accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 N Main St

Urbana, OH 430781605

Telephone 9376535228

Associated Practice Facility / Clinic

🏢 James Grove & Associates, Llc Facility NPI 1659573962

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Urbana, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +5.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Urbana, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

9.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Grove (26 Years) 26 Yrs

Urbana Specialty Average (21.0 Years) 21.0 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
92014 Established patient complete exam of visual system	148	148	$92.76	$90.83
92250 Photography of the retina	62	59	$60.00	$34.39
92004 New patient complete exam of visual system	42	42	$109.24	$107.78
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$77.54	$74.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	152	152	$64.00	$63.16
92250 Photography of the retina	56	56	$60.00	$35.14
92004 New patient complete exam of visual system	45	45	$64.00	$63.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$55.00	$53.58
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$63.00	$62.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	133	133	$64.00	$63.41
92004 New patient complete exam of visual system	58	58	$69.17	$64.96
92250 Photography of the retina	30	30	$60.00	$35.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$55.00	$54.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	143	142	$64.00	$64.00
92004 New patient complete exam of visual system	39	39	$64.00	$64.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$55.00	$54.37
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$63.00	$63.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	117	117	$64.00	$63.85
92004 New patient complete exam of visual system	32	32	$64.00	$63.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$55.00	$43.80
92083 Exam of visual field with extended testing	14	14	$75.00	$60.06
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$63.00	$62.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	122	122	$64.00	$63.18
92004 New patient complete exam of visual system	46	46	$64.00	$63.34
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$63.00	$62.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$55.00	$42.97
92083 Exam of visual field with extended testing	12	12	$75.00	$60.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	111	111	$64.00	$63.20
92004 New patient complete exam of visual system	59	59	$64.00	$63.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	22	$55.00	$40.67
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$63.00	$62.23
92083 Exam of visual field with extended testing	24	22	$75.00	$58.99
92284 Evaluation of eye adaptation to light and dark with interpretation and report	18	16	$75.00	$57.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$90.00	$88.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	100	100	$64.00	$62.42
92004 New patient complete exam of visual system	42	42	$64.00	$62.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$55.48	$38.76
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$63.00	$61.20
92083 Exam of visual field with extended testing	17	16	$75.00	$56.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$90.00	$87.76

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 5180

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2237476 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. John Collins , OD

Optometrist

NPI 1316916968

Doctor of Optometry

Dr. Bethany Bloemhard , OD

Optometrist

NPI 1457700882

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 25, 2019

Registered at 303 N MAIN ST, URBANA, OH 430781605 (Tel: 6148780361)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 303 N MAIN ST, URBANA, OH 430781605 (Tel: 9376535228)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1323 FOUR STAR DR E, GALLOWAY, OH 431198441 (Tel: 6148780361)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES GROVE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #5180 in OH)

🟢

Initial NPI Registration & Enumeration October 25, 2006

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: 1013092428

Entity Type:

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

Enumeration Date: October 25, 2006

Last Update: September 25, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

303 N Main St

Urbana, OH 430781605

Phone: 6148780361

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.