MIMI GROOM (MD) – Ophthalmology Physician, NPI 1902857113

MIMI GROOM (MD) is a healthcare provider. based in Naples, Florida. specializing in Ophthalmology Physician. They hold the professional credentials MD. They hold a License No. FLME0065790 (FL). The NPI Number for MIMI GROOM (MD) is 1902857113

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
MIMI GROOM (MD)
NPI
1902857113
Phone
(239) 597-5700
Address
3455 PINE RIDGE RD
Enumeration Date
12 May 2006
Last Update Date
29 November 2016

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
7875795525
Graduation Year
1989 (37 years ago)
PAC ID
5890798094
Group Practice PAC ID
5799037214
Professional Enrollment ID
I20060808000337
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MIMI GROOM (MD)

  • Pine Ridge Road, North Naples, Collier County, Florida, 34119, United States

    NAPLES, FL 341093824

    Phone: (239) 597-5700

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: ABBVIE INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$14
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 34109)

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Provider's Procedures

MIMI GROOM (MD) performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions409385
OPHTHALMOLOGYFL92134Diagnostic imaging of retina271262

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: 5799037214View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

What identifier follows MIMI GROOM (MD) across health systems?
The NPI 1902857113 uniquely identifies MIMI GROOM (MD) in U.S. healthcare data.
Quick check: is MIMI GROOM (MD) active?
Public NPPES data shows MIMI GROOM (MD) with an active NPI status right now.
What type of care does MIMI GROOM (MD) provide?
MIMI GROOM (MD)'s profile centers on Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is MIMI GROOM (MD) tied to Naples, Florida?
If you are local to Naples, Florida, MIMI GROOM (MD) may be relevant to your search.
Why is information missing for MIMI GROOM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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