Karen Grove, M.D.
NPI 1538327796 · Ophthalmology Physician · Durham, NC
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Grove, M.D. is a Ophthalmology Physician provider in Durham, NC (NPI 1538327796).
Provider details
- NPI number
- 1538327796
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 201401290 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,099 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 383 | $90 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 373 | $493 |
| Measurement of Corneal Curvature and Depth of Eye92136 | 246 | $47 |
| Established Patient Complete Exam of Visual System92014 | 218 | $124 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 207 | $126 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluorometholone | 355 | 128 |
| Prednisolone Acetate | 284 | 190 |
| Moxifloxacin Hclbrand: Moxifloxacin | 191 | 125 |
| Ketorolac Tromethamine | 174 | 125 |
| Cyclosporine | 109 | 31 |
| Valacyclovir Hclbrand: Valacyclovir | 96 | 23 |
| Cyclosporinebrand: Restasis | 85 | 29 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$81 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-05-23
- Last updated
- 2014-06-25
Frequently asked questions
- What is Karen Grove's NPI number?
- Karen Grove's National Provider Identifier (NPI) is 1538327796, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Grove's specialty?
- Karen Grove is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Grove located?
- Karen Grove's practice location on file with NPPES is 2351 Erwin Rd, Durham, NC 27705-4699.
- What is Karen Grove's phone number?
- The practice phone number listed in the NPPES registry for Karen Grove is (919) 684-8111.
- Does Karen Grove accept Medicare?
- Karen Grove is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Grove's NPI active?
- Yes — Karen Grove's NPI (1538327796) is active in the NPPES registry as of the last update on 2014-06-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.