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Dr. James A. Groff, DO, FACOI

Accepting New Patients

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Specializes in: Adult Nephrology
Philadelphia College of Osteopathic Medicine
Professional interests include: acute kidney injury (AKI), secondary hypertension, pheochromocytoma, and more.
2112 Harrisburg Pike Suite 312
Lancaster, PA 17604

Dr. James A. Groff, DO, FACOI is a nephrologist in Lancaster, PA specializing in adult nephrology. He graduated from Philadelphia College of Osteopathic Medicine. Dr. James A. Groff, DO, FACOI is affiliated with WellSpan Health and Penn State Health.

View Doctor's Full Profile (717) 544-3232

Office Locations

2110 Harrisburg Pike Suite 310
Lancaster, PA 17601
(717) 544-3232
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2112 Harrisburg Pike Suite 312
Lancaster, PA 17604
(717) 544-3232
(717) 544-3233
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Some issues Dr. James A. Groff, DO, FACOI can help you with:

Acute Kidney Failure

Kidney failure is when 80% to 90% of kidney function is lost. Kidney failure is also referred to as end-stage renal disease (ESRD). Kidneys are critical to human health, essentially acting as the body's built-in filtration system. When the kidneys can no longer function effectively, waste can accumulate in the blood and concentrations of nutrients can become unbalanced, impairing the body from performing critical functions. For example, if the kidneys do not regulate levels of potassium, the heart may develop arrhythmias (irregular rhythm) or even go into cardiac arrest.

Kidney failure may be caused by a number of health conditions that slowly damage and weaken the kidneys, such as:

  • Diabetes
  • High blood pressure
  • Urinary tract problems
  • Excessive alcohol consumption
  • Persistent and severe dehydration
  • Lupus
  • Acute kidney injury (AKI)

High blood pressure and diabetes are the most frequently observed causes of kidney failure. However, these conditions typically take years to develop into kidney failure and might escape notice during that time.

Symptoms of kidney failure include:

  • Difficulty sleeping
  • Fatigue
  • Reduced appetite
  • Weight loss
  • Edema (water retention)
  • Ankle and foot swelling
  • Anemia
  • Itching
  • Muscle cramps

No cure currently exists for kidney failure; however, medical treatment can permit people to live healthy and long lives. A nephrologist (kidney doctor) determines the most effective treatments for patients with kidney failure.

Dialysis is a well-known treatment for kidney failure that uses a machine to filter and clean waste from the blood. Patients attend regular dialysis sessions to replace their lost kidney function. Some patients with kidney failure are unable to survive without having dialysis every few days.

More advanced kidney failure may be treated by kidney transplant surgery. Deceased donor kidney transplant surgery provides kidney failure patients with a healthy kidney from a recently deceased person. Living donor kidney transplant surgery provides a kidney from a donor who is still alive. As most people have two kidneys, kidney failure patients' relatives or friends may offer to donate one of their kidneys. Kidney transplants can dramatically improve kidney function and lower or eliminate the need for dialysis.

People with kidney failure are advised to eat a nutritious diet, monitor and lower blood pressure, and to best manage diabetes. Exercise and a tobacco-free lifestyle may also help patients with kidney failure.

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

  • Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
  • Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
  • Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Noteworthy Medicare Patient Procedures Performed by Dr. James A. Groff, DO, FACOI in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Affordability:

lab tests
urinalysis
urine tests

In 2012, Dr. James A. Groff, DO, FACOI had a list price for lab tests, urinalysis, and urine tests that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Pennsylvania. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2012 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 80
doctor visit 504
hospital care 568
inpatient care 568
lab tests 235
minimally invasive procedures 27
preventive care 40
vaccines 40

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2013 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 70
doctor visit 398
hospital care 515
inpatient care 515
lab tests 132
minimally invasive procedures 34
preventive care 29
vaccines 29

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 411
Female 322
Ethnicity
Non-Hispanic White 623
Black 42
Hispanic 49
Asian 0
Other 0
Native American 0
Age
From 65 to 74 181
From 75 to 84 247
85 and over 155
Less than 65 150

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2013

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 68
Depression 27
Chronic Kidney Disease 75
Asthma 11
Osteoperosis 6
Atrial Fibrilation 32
Heart Failure 55
Chronic Obstructive Pulmonary Disease 25
Diabetes 60
Dementia 12
Cancer 12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2014 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 77
doctor visit 416
hospital care 554
inpatient care 554
lab tests 175
minimally invasive procedures 41

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 399
Female 325
Ethnicity
Non-Hispanic White 606
Black 51
Hispanic 47
Asian 0
Other 0
Native American 0
Age
From 65 to 74 189
From 75 to 84 244
85 and over 145
Less than 65 146

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2014

Hypertension 75
High Cholesterol 73
Stroke 8
Ischemic Heart Disease 64
Depression 28
Chronic Kidney Disease 75
Asthma 10
Osteoperosis 6
Atrial Fibrilation 32
Heart Failure 55
Chronic Obstructive Pulmonary Disease 23
Diabetes 56
Dementia 12
Cancer 11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2015 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 61
doctor visit 431
hospital care 596
inpatient care 596
lab tests 134
minimally invasive procedures 42

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 802
Female 674
Ethnicity
Non-Hispanic White 1224
Black 90
Hispanic 120
Asian 0
Other 0
Native American 0
Age
From 65 to 74 350
From 75 to 84 482
85 and over 296
Less than 65 348

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2015

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 59
Depression 32
Chronic Kidney Disease 75
Asthma 17
Osteoperosis 8
Atrial Fibrilation 29
Heart Failure 53
Chronic Obstructive Pulmonary Disease 24
Diabetes 55
Dementia 15
Cancer 13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2016 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 44
doctor visit 408
hospital care 545
inpatient care 545
lab tests 50

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 361
Female 307
Ethnicity
Non-Hispanic White 551
Black 45
Hispanic 56
Asian 0
Other 0
Native American 0
Age
From 65 to 74 169
From 75 to 84 213
85 and over 140
Less than 65 146

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2016

Hypertension 75
High Cholesterol 71
Stroke 9
Ischemic Heart Disease 61
Depression 30
Chronic Kidney Disease 75
Asthma 23
Osteoperosis 9
Atrial Fibrilation 28
Heart Failure 51
Chronic Obstructive Pulmonary Disease 20
Diabetes 55
Dementia 19
Cancer 8

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2017 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 22
doctor visit 403
hospital care 477
inpatient care 477
lab tests 58

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 356
Female 304
Ethnicity
Non-Hispanic White 540
Black 47
Hispanic 49
Asian 11
Other 13
Native American 0
Age
From 65 to 74 202
From 75 to 84 195
85 and over 126
Less than 65 137

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2017

Hypertension 75
High Cholesterol 64
Stroke 7
Ischemic Heart Disease 58
Depression 32
Chronic Kidney Disease 75
Asthma 9
Osteoperosis 7
Atrial Fibrilation 26
Heart Failure 48
Chronic Obstructive Pulmonary Disease 21
Diabetes 56
Dementia 17
Cancer 9

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2018 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 31
doctor visit 402
hospital care 514
inpatient care 514
lab tests 71

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 338
Female 300
Ethnicity
Non-Hispanic White 526
Black 41
Hispanic 51
Asian 0
Other 0
Native American 0
Age
From 65 to 74 196
From 75 to 84 203
85 and over 122
Less than 65 117

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2018

Hypertension 75
High Cholesterol 75
Stroke 10
Ischemic Heart Disease 61
Depression 28
Chronic Kidney Disease 75
Asthma 9
Osteoperosis 8
Atrial Fibrilation 28
Heart Failure 51
Chronic Obstructive Pulmonary Disease 24
Diabetes 57
Dementia 20
Cancer 12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2019 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 31
doctor visit 393
hospital care 410
inpatient care 410
lab tests 48

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 324
Female 271
Ethnicity
Non-Hispanic White 485
Black 36
Hispanic 53
Asian 0
Other 0
Native American 0
Age
From 65 to 74 212
From 75 to 84 171
85 and over 105
Less than 65 107

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2019

Hypertension 75
High Cholesterol 75
Stroke 11
Ischemic Heart Disease 56
Depression 29
Chronic Kidney Disease 75
Asthma 10
Osteoperosis 10
Atrial Fibrilation 24
Heart Failure 48
Chronic Obstructive Pulmonary Disease 23
Diabetes 53
Dementia 19
Cancer 13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2020 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 64
doctor visit 304
hemofiltration 30
hospital care 431
inpatient care 431
lab tests 11

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 288
Female 219
Ethnicity
Non-Hispanic White 416
Black 26
Hispanic 46
Asian 0
Other 0
Native American 0
Age
From 65 to 74 185
From 75 to 84 151
85 and over 79
Less than 65 92

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2020

Hypertension 75
High Cholesterol 75
Stroke 9
Ischemic Heart Disease 57
Depression 34
Chronic Kidney Disease 75
Asthma 11
Osteoperosis 9
Atrial Fibrilation 24
Heart Failure 49
Chronic Obstructive Pulmonary Disease 23
Diabetes 58
Dementia 23
Cancer 10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2021 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

dialysis 51
doctor visit 370
hemofiltration 35
hospital care 418
inpatient care 418

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 310
Female 226
Ethnicity
Non-Hispanic White 456
Black 25
Hispanic 31
Asian 0
Other 0
Native American 0
Age
From 65 to 74 189
From 75 to 84 168
85 and over 90
Less than 65 89

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2021

Hypertension 75
High Cholesterol 75
Stroke 7
Ischemic Heart Disease 57
Depression 31
Chronic Kidney Disease 75
Asthma 10
Osteoperosis 9
Atrial Fibrilation 24
Heart Failure 47
Chronic Obstructive Pulmonary Disease 21
Diabetes 51
Dementia 23
Cancer 11

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2022 were hospital care, inpatient care, lab tests and minimally invasive procedures.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

doctor visit 364
hospital care 516
inpatient care 516
lab tests 19
minimally invasive procedures 14

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 271
Female 222
Ethnicity
Non-Hispanic White 429
Black 18
Hispanic 25
Asian 0
Other 0
Native American 0
Age
From 65 to 74 164
From 75 to 84 161
85 and over 106
Less than 65 62

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2022

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 49
Depression 29
Chronic Kidney Disease 75
Asthma 11
Osteoperosis 16
Atrial Fibrilation 38
Heart Failure 45
Chronic Obstructive Pulmonary Disease 23
Diabetes 51
Dementia 12
Cancer 19

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA during 2023 were hospital care, inpatient care and lab tests.

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

doctor visit 372
hospital care 450
inpatient care 450
lab tests 16

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 270
Female 206
Ethnicity
Non-Hispanic White 415
Black 20
Hispanic 26
Asian 0
Other 0
Native American 0
Age
From 65 to 74 160
From 75 to 84 160
85 and over 81
Less than 65 75

Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI in 2023

Hypertension 75
High Cholesterol 75
Stroke 12
Ischemic Heart Disease 47
Depression 32
Chronic Kidney Disease 75
Asthma 16
Osteoperosis 13
Atrial Fibrilation 35
Heart Failure 45
Chronic Obstructive Pulmonary Disease 24
Diabetes 53
Dementia 12
Cancer 18

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. James A. Groff, DO, FACOI for Medicare patients.

The highest averages for the top procedures that Dr. James A. Groff, DO, FACOI treated as a nephrologist in Lancaster, PA were hospital care, inpatient care, lab tests and dialysis.

dialysis 53
doctor visit 397
hemofiltration 32
hospital care 499
inpatient care 499
lab tests 86
minimally invasive procedures 31
preventive care 34
vaccines 34

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. James A. Groff, DO, FACOI.

Gender
Male 344
Female 281
Ethnicity
Black / African American 36
Asian / Pacific Islander 0
Non-Hispanic White 522
Hispanic 46
Native American / Alaskan Native 0
Other 1
Age
75 to 84 199
85 and over 120
Less than 65 122
65 to 74 183

Average of Total of Conditions of Medicare patients treated by Dr. James A. Groff, DO, FACOI From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. James A. Groff, DO, FACOI treated were chronic kidney disease, hypertension, high cholesterol and ischemic heart disease.

Hypertension 68
High Cholesterol 67
Stroke 9
Ischemic Heart Disease 53
Depression 27
Chronic Kidney Disease 68
Asthma 11
Osteoporosis 8
Heart Failure 45
Chronic Obstructive Pulmonary Disease 20
Diabetes 50
Atrial Fibrillation 26
Cancer 11
Dementia 15

Education & Training

Dr. James A. Groff, DO, FACOI graduated from Philadelphia College of Osteopathic Medicine. He completed residency at University of Pittsburgh Medical Center (UPMC). He is certified by the American Osteopathic Board of Internal Medicine | Nephrology and has a state license in Pennsylvania.

Medical School: Philadelphia College of Osteopathic Medicine

Residency: University of Pittsburgh Medical Center (UPMC) (1994)

Board Certification: American Osteopathic Board of Internal Medicine | Nephrology

Licensed In: Pennsylvania

Affiliations & Hospitals

Dr. James A. Groff, DO, FACOI is associated with these hospitals and organizations:

WellSpan Health
Penn State Health

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. James A. Groff, DO, FACOI. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
Amgen Inc. $204 Parsabiv
$106 		Sensipar
$98
Mallinckrodt LLC $125 ACTHAR
$125
Mallinckrodt Hospital Products Inc. $122 TERLIVAZ
$122
Alexion Pharmaceuticals, Inc. $92 SOLIRIS
$92
Janssen Pharmaceuticals, Inc $78 INVOKANA
$50 		XARELTO
$28
Other $178 JARDIANCE
$39 		System One
$25 		Baxter
$20 		ACTHAR
$18 		LOKELMA
$17 		Other
$59
Types of Payments
Food and Beverage $799

Biography

Dr. James Groff is a Lancaster, PA physician who specializes in adult nephrology. His areas of expertise include the following: renal artery stenosis, polycystic kidney disease, and glomerulonephritis. Dr. Groff obtained his medical school training at Philadelphia College of Osteopathic Medicine and performed his residency at PinnacleHealth and the University of Pittsburgh Medical Center (UPMC). He is affiliated with Penn State Health and WellSpan Ephrata Community Hospital. WellSpan Health reports that Dr. Groff is accepting new patients at his office in Lancaster, PA.

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