JASON R GROVE (DPM) – Podiatrist, NPI 1609040088
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
Provider Addresses for JASON R GROVE (DPM)
611 E DOUGLAS RD STE 101
MISHAWAKA, IN 465451464
Phone: (574) 335-6800
Fax: (574) 335-0772
Type: Location
Douglas Road, Mishawaka, Saint Joseph County, Indiana, 46545, United States
MISHAWAKA, IN 465451468
Phone: (574) 335-6500
Fax: (574) 335-0772
Type: Location
1919 Lake Ave Ste 102B
Plymouth, IN 465637830
Phone: (574) 335-6800
Type: Location
611 E Douglas Rd Ste 407
Mishawaka, IN 465451468
Phone: (574) 335-6500
Type: Location
707 CEDAR ST STE 200
SOUTH BEND, IN 466172057
Phone: (574) 335-8700
Fax: (574) 335-0760
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $1,627.
Total Amount is formed as General ($1,627) + Research ($0) + Ownership ($0) = $1,627.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Kerecis Limited ($386).
Total Amount
$1,627
General + Research + Ownership
Payments
33
Total payment records
General Amount
$1,627
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
| Company | Amount |
|---|---|
| Kerecis Limited | $386 |
| ConvaTec Inc. | $232 |
| Stryker Corporation | $181 |
| MIMEDX Group, Inc. | $173 |
| Linvatec Corporation | $131 |
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: 2008-09-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080927000183 | I | Podiatry | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 180 | 129 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 174 | 112 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 121 | 121 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 112 | 91 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 84 | 11 | $0 |
Insurance plans in this area (ZIP 46545)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| - | IN | |
| N E U R O L O G Y | IL | |
| - | IN | |
| - | IN | |
| U R O L O G Y | FL | |
| Physician Assistant | MN | |
| Nurse Practitioner | IN |
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