NPI registry status
Active
2026 NPPES data Podiatrist NPI 1265460877 DPM
Verify on CMS → Mack Groves, DPM
Podiatrist in Covington, Louisiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,498 in Podiatrist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
487
Medicare Part D claims · 224 beneficiaries · Podiatrist avg: 304
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$608.6
17 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mack Groves, DPM reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 487 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 487
- Part D claims, 2023
- 98%
- generic prescribing
- $608.6
- industry payments (Sunshine Act)
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.
Mack Groves, DPM's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
0 0th percentile higher than 0% of 477,587 scored providers
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
Where Mack Groves, DPM sits
This provider among podiatrist peers
Across the 2,987 podiatrist providers who report both Medicare Part D prescribing and a MIPS quality score, Mack Groves, DPM writes more Part D claims than 83% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one podiatrist peer from a representative sample of 60; the gold marker is Mack Groves, DPM. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Mack Groves, DPM?
Below national averagePrimary specialty
Podiatrist
Medicare Part D claims
487 60% vs specialty avg
MIPS final score
0/100 83.1 pts vs avg
Specialty distribution in Louisiana
How Podiatrist compares to other specialties among Louisiana providers
Medicare quality performance, MIPS
Mack Groves, DPM's 2023 MIPS final score plotted against the Podiatrist national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Podiatrist) - 0/100 vs national avg 83.1
How MIPS and board certification work
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).
Mack Groves, DPM appears in the CMS NPPES registry as a Podiatrist provider holding DPM credentials at 323 S TYLER ST, Covington, LA, 70433, with a listed phone of (985) 867-9605. NPI 1265460877 was issued on 06/30/2006.
Medicare Part D records for calendar year 2023 show 487 prescription claims written by this provider, covering 224 Medicare beneficiaries and totaling roughly $7K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 3.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.
Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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
Provider Details
| NPI | 1265460877 |
|---|---|
| Specialty | Podiatrist |
| Credentials | DPM |
| Gender | Male |
| NPI Issued | 06/30/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Avg: 83.1
0
Quality
Reporting: Individual
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 Mack Groves, DPM. Source: openpaymentsdata.cms.gov.
Total received
$609
Largest payer
Stryker Corporation
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 · Generic-heavy
Mack Groves, DPM - brand share 2.0%
Podiatrist average
2% brand-name claims vs 98% generic, on 487 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.
487
Total Claims
$7K
Total Drug Cost
224
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 780
- Total Day Supply
- 19,936
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $301
- Generic Drug Cost
- $7K
- Opioid Claims
- 19 (3.9% rate)
- Antibiotic Claims
- 36
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 1.33
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 17, 65-74: 116, 75-84: 74, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Mack Groves, DPM prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluconazole
Fluconazole
218 claims
- Colchicine 38
Colchicine
38 claims
- Pregabalin 25
Pregabalin
25 claims
- Clotrimazole-Betam… 24
Clotrimazole-Betamethasone
24 claims
- Ammonium Lactate 22
Ammonium Lactate
22 claims
- Allopurinol 21
Allopurinol
21 claims
- Ketoconazole 21
Ketoconazole
21 claims
- Clindamycin Hcl 16
Clindamycin Hcl
16 claims
| Drug | Claims |
|---|---|
| Fluconazole | 218 |
| Colchicine | 38 |
| Pregabalin | 25 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 24 |
| Ammonium Lactate | 22 |
| Allopurinol | 21 |
| Ketoconazole | 21 |
| Clindamycin Hcl | 16 |
| Terbinafine Hcl | 15 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Podiatrist Overview
How Mack Groves, DPM fits within the Podiatrist landscape nationally.
10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider
Mack Groves, DPM's 487 claims are above the specialty average of 304.
Nearby Podiatrist Providers in Louisiana
Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as Groves.
Dr. Rustin Ajdari
DPM
Slidell, LA
Dr. David Allen
D.P.M
Ponchatoula, LA
Dr. John Allen
DPM
Hammond, LA
Dr. Elizabeth Ansert
DPM
Thibodaux, LA
Dr. Scott Beairsto
D.P.M.
Lafayette, LA
Compare Podiatrist nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Louisiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Podiatrist peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Mack Groves, DPM's specialty? ▼
Mack Groves, DPM specializes in Podiatrist and practices in Covington, Louisiana. Credentials: DPM.
How much does Mack Groves, DPM prescribe under Medicare Part D? ▼
In 2023, Mack Groves, DPM wrote 487 Medicare Part D claims totaling $7K in drug costs for 224 beneficiaries.
What is Mack Groves, DPM's Medicare quality score? ▼
Mack Groves, DPM has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mack Groves, DPM located? ▼
Mack Groves, DPM is located at 323 S TYLER ST, Covington, LA, 70433. Phone: (985) 867-9605.
What is Mack Groves, DPM's NPI number? ▼
Mack Groves, DPM's National Provider Identifier (NPI) is 1265460877, issued on 06/30/2006.
Does Mack Groves, DPM prescribe more brand-name or generic drugs? ▼
Mack Groves, DPM's prescribing is 2% brand-name and 98% generic drugs by claim count, with $301 in brand drug costs.
Does Mack Groves, DPM prescribe opioids? ▼
Yes, Mack Groves, DPM had 19 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
How many Podiatrist providers are there in the US? ▼
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does Mack Groves, DPM prescribe most often? ▼
Based on 2023 Medicare Part D data, Mack Groves, DPM's most frequently prescribed drugs include Fluconazole, Colchicine, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mack Groves, DPM accept Medicare? ▼
Mack Groves, DPM appears in CMS Medicare data with 487 Part D claims and 224 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mack Groves, DPM's credentials? ▼
Mack Groves, DPM's NPI is 1265460877 with credentials DPM. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.