ALEXANDER THOMAS GROVER (DO) – Family Medicine Physician, NPI 1275154668

ALEXANDER THOMAS GROVER (DO) is a healthcare provider. based in Pueblo, Colorado. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. TL.0008395 (CO). The NPI Number for ALEXANDER THOMAS GROVER (DO) is 1275154668

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER THOMAS GROVER (DO)
NPI
1275154668
Phone
(719) 557-5872
Address
902 LAKEVIEW AVE
Enumeration Date
27 April 2020
Last Update Date
15 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9703788000
Graduation Year
2023 (3 years ago)
PAC ID
0143641225
Group Practice PAC ID
0143115691
Professional Enrollment ID
I20240912003689
Address ID
CO806349640GR6801XSTXX413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,661 FAMILY PRACTICE in CO

Provider Addresses for ALEXANDER THOMAS GROVER (DO)

  • 902 LAKEVIEW AVE

    PUEBLO, CO 810043597

    Phone: (719) 557-5872

    Type: Mailing

  • 6801 W 20TH ST UNIT 101

    GREELEY, CO 806349640

    Phone: (970) 378-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: DJO, LLC ($126).

Total Amount

$226

General + Research + Ownership

Payments

6

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240912003689IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81004)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143115691View full group profile
NameSpecialtyState
-CO
Physician AssistantCO
Family PracticeCO
Family PracticeAZ
Family PracticeCO
Family PracticeCO
Family PracticeCO
Family PracticeCO
Family PracticeCO
Family PracticeCO

Reviews

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Frequently asked questions

Does ALEXANDER THOMAS GROVER (DO) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ALEXANDER THOMAS GROVER (DO) uses 1275154668.
Can I rely on ALEXANDER THOMAS GROVER (DO) being an active provider?
As of the registry snapshot, ALEXANDER THOMAS GROVER (DO) is marked active.
What is ALEXANDER THOMAS GROVER (DO)'s primary classification?
Family Medicine Physician is the headline specialty for ALEXANDER THOMAS GROVER (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect ALEXANDER THOMAS GROVER (DO) on a map?
Expect Pueblo, Colorado as a primary anchor for ALEXANDER THOMAS GROVER (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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