2026 NPPES data Surgery Physician NPI 1174566996 MD
Verify on CMS →

JOHN GROVES, MD

Surgery Physician in ALBERTVILLE, Alabama. 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
312
Medicare Part D claims · 144 beneficiaries · Surgery Physician avg: 169
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
36.6147/100
▼ 46 pts below national avg 83.1 · [object Object]
Industry payments
$252.3
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN GROVES, MD reported a CMS MIPS final score of 36.6147/100 — below the 83.1 national average — and filed 312 Medicare Part D claims in 2023.

36.6147/100
MIPS score · -46 vs avg
312
Part D claims, 2023
78%
generic prescribing
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.

JOHN GROVES, MD's MIPS score vs every scored U.S. clinician

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

37 3rd percentile higher than 3% 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%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

JOHN GROVES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 JOHN GROVES, MD?

Below national average

NPI registry status

Active

Issued 06/13/2006

NPI 1174566996

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

312 85% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

36.6147/100 46.485299999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Alabama

How Surgery Physician compares to other specialties among Alabama providers

Alabama providers

Surgery Physician share within Alabama

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

Medicare quality performance — MIPS

JOHN GROVES, MD's 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
36.6147/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 36.6147/100 vs national avg 83.1

0%100%National avg83%36.6%
MIPS final score (Surgery Physician) — 36.6147/100 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).

JOHN GROVES, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 133 WALL ST., ALBERTVILLE, AL, 35951, with a listed phone of (256) 840-5547. NPI 1174566996 was issued on 06/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GROVES 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 312 prescription claims written by this provider, covering 144 Medicare beneficiaries and totaling roughly $35K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 25.6%. 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 36.6147/100 for the 2023 performance year (Quality 20, Cost 37.049), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

133 WALL ST.
ALBERTVILLE, AL 35951

Provider Details

NPI 1174566996
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/13/2006

CMS Quality Score (MIPS)

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

36.6147
Final Score
Avg: 83.1
20
Quality
37.049
Cost
18
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN GROVES, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

STEPHEN L BRITT MD PC
ALBERTVILLE, AL
SURGICAL ASSOCIATES OF MARSHALL COUNTY
ALBERTVILLE, AL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOHN GROVES, MD. Source: openpaymentsdata.cms.gov.

Total received

$252

Largest payer

Kerecis Limited

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

JOHN GROVES, MD — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 312 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

312
Total Claims
$35K
Total Drug Cost
144
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
380
Total Day Supply
5,765
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$4K
Generic Drug Cost
$31K
Opioid Claims
80 (25.6% rate)
Antibiotic Claims
73

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
1.30
Gender Split
53% female / 47% male
Age Distribution
<65: 40, 65-74: 60, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What JOHN GROVES, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
76
Levothyroxine Sodium
37
Synthroid
Levothyroxine Sodium
25
Metronidazole
16
Ciprofloxacin Hcl
14
Ondansetron Hcl
14
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

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

Surgery Physician Overview

How JOHN GROVES, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JOHN GROVES, MD's 312 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Alabama

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

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

Frequently Asked Questions

What is JOHN GROVES, MD's specialty?
JOHN GROVES, MD specializes in Surgery Physician and practices in ALBERTVILLE, Alabama. Credentials: MD.
How much does JOHN GROVES, MD prescribe under Medicare Part D?
In 2023, JOHN GROVES, MD wrote 312 Medicare Part D claims totaling $35K in drug costs for 144 beneficiaries.
What is JOHN GROVES, MD's Medicare quality score?
JOHN GROVES, MD has a CMS MIPS Final Score of 36.6147/100 (Quality: 20, Cost: 37.049). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN GROVES, MD located?
JOHN GROVES, MD is located at 133 WALL ST., ALBERTVILLE, AL, 35951. Phone: (256) 840-5547.
What is JOHN GROVES, MD's NPI number?
JOHN GROVES, MD's National Provider Identifier (NPI) is 1174566996, issued on 06/13/2006.
Does JOHN GROVES, MD prescribe more brand-name or generic drugs?
JOHN GROVES, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $4K in brand drug costs.
Does JOHN GROVES, MD prescribe opioids?
Yes, JOHN GROVES, MD had 80 opioid claims in 2023 with an opioid prescribing rate of 25.6%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does JOHN GROVES, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN GROVES, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Levothyroxine Sodium, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GROVES, MD accept Medicare?
JOHN GROVES, MD appears in CMS Medicare data with 312 Part D claims and 144 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GROVES, MD's credentials?
JOHN GROVES, MD's NPI is 1174566996 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