2026 NPPES data Anesthesiology Physician NPI 1285645903 MD
Verify on CMS →

GENE GROVE, MD

Anesthesiology Physician in ELKHART, Indiana. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
326
Medicare Part D claims · 145 beneficiaries · Anesthesiology Physician avg: 860
MIPS score
78.3283/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

GENE GROVE, MD reported a CMS MIPS final score of 78.3283/100 — below the 83.1 national average — and filed 326 Medicare Part D claims in 2023.

78.3283/100
MIPS score · -5 vs avg
326
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

GENE GROVE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 27th percentile higher than 27% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

GENE GROVE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about GENE GROVE, MD?

Near national average

NPI registry status

Active

Issued 08/10/2006

NPI 1285645903

Primary specialty

Anesthesiology Physician

High-volume

56,398 US NPIs in this specialty

Medicare Part D claims

326 62% vs specialty avg

2023 prescription claims

Specialty avg: 860

MIPS final score

78.3283/100 4.771699999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Indiana

How Anesthesiology Physician compares to other specialties among Indiana providers

Indiana providers

Anesthesiology Physician share within Indiana

1. Anesthesiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anesthesiology Physician share within Indiana

Medicare quality performance — MIPS

GENE GROVE, MD's 2023 MIPS final score plotted against the Anesthesiology Physician national average

Near national average
MIPS Final Score
78.3283/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Anesthesiology Physician) — 78.3283/100 vs national avg 83.1

0%100%National avg83%78.3%
MIPS final score (Anesthesiology Physician) — 78.3283/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

GENE GROVE, MD appears in the CMS NPPES registry as a Anesthesiology Physician provider holding MD credentials at 2310 CALIFORNIA ROAD, ELKHART, IN, 46514, with a listed phone of (574) 264-4163. NPI 1285645903 was issued on 08/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GROVE most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 326 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 12.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.3283/100 for the 2023 performance year (Quality 58.059, Cost 78.0353), compared with the national average of 83.1.

Anesthesiology Physician is a high-volume specialty nationwide, with 56,398 enrolled providers across 56 states and an average of 860 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2310 CALIFORNIA ROAD
ELKHART, IN 46514

Provider Details

NPI 1285645903
Specialty Anesthesiology Physician
Credentials MD
Gender Male
NPI Issued 08/10/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

78.3283
Final Score
Avg: 83.1
58.059
Quality
78.0353
Cost
90
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

326
Total Claims
$9K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
407
Total Day Supply
12,026
Generic Drug Cost
$8K
Opioid Claims
40 (12.3% rate)

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.49
Gender Split
60% female / 40% male
Age Distribution
<65: 31, 65-74: 68, 75-84: 28, 85+: 18

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What GENE GROVE, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
158
Celecoxib
28
Meloxicam
25
Pregabalin
16
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Duloxetine Hcl
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Anesthesiology Physician Overview

How GENE GROVE, MD fits within the Anesthesiology Physician landscape nationally.

56,398
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider

GENE GROVE, MD's 326 claims are below the specialty average of 860.

Nearby Anesthesiology Physician Providers in Indiana

Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as GROVE.

Compare Anesthesiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GENE GROVE, MD's specialty?
GENE GROVE, MD specializes in Anesthesiology Physician and practices in ELKHART, Indiana. Credentials: MD.
How much does GENE GROVE, MD prescribe under Medicare Part D?
In 2023, GENE GROVE, MD wrote 326 Medicare Part D claims totaling $9K in drug costs for 145 beneficiaries.
What is GENE GROVE, MD's Medicare quality score?
GENE GROVE, MD has a CMS MIPS Final Score of 78.3283/100 (Quality: 58.059, Cost: 78.0353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GENE GROVE, MD located?
GENE GROVE, MD is located at 2310 CALIFORNIA ROAD, ELKHART, IN, 46514. Phone: (574) 264-4163.
What is GENE GROVE, MD's NPI number?
GENE GROVE, MD's National Provider Identifier (NPI) is 1285645903, issued on 08/10/2006.
Does GENE GROVE, MD prescribe opioids?
Yes, GENE GROVE, MD had 40 opioid claims in 2023 with an opioid prescribing rate of 12.3%.
How many Anesthesiology Physician providers are there in the US?
There are 56,398 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does GENE GROVE, MD prescribe most often?
Based on 2023 Medicare Part D data, GENE GROVE, MD's most frequently prescribed drugs include Gabapentin, Celecoxib, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GENE GROVE, MD accept Medicare?
GENE GROVE, MD appears in CMS Medicare data with 326 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GENE GROVE, MD's credentials?
GENE GROVE, MD's NPI is 1285645903 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology