Individual provider Active NPI

John C Gross, M.D.

  • Ophthalmology Physician
  • Ashland, KY
National Provider Identifier
1245209550
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
28089 Issued in KY
Practice address
2841 Lexington Ave
Ashland, KY 41101-3009
Phone
(606) 324-2451
Fax
(606) 324-7123
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 28089 KY Primary

Addresses

Primary practice location

2841 Lexington Ave
Ashland, KY 41101-3009

Mailing address

2841 Lexington Ave
Ashland, KY 41101-3009
Phone (606) 324-2451

Other identifiers 3

IdentifierTypeStateIssuer
0160061MedicaidOH
64280894MedicaidKY
180021151OtherKYMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051123000005 KY Practitioner - Ophthalmology 4284682428 Reassigns benefits to 1 organization
I20140225001651 OH Practitioner - Ophthalmology 4284682428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kentucky College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Ophthalmology Associates PSCGroup PAC ID 9931157179, 4 clinicians

Practice addresses (Care Compare)

1534 11TH St
Portsmouth, OH 45662-4524
Phone (740) 355-1161

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

2841 Lexington Ave
Ashland, KY 41101-3009
Phone (606) 324-2451

405 S 3Rd St
Ironton, OH 45638-1730
Phone (740) 442-7959

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.1 of 100Reported as group
Quality
92.44
Promoting interoperability
100
Improvement activities
40
Cost
47.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Idox3 LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: johngross@tri-stateeyes.emadirect.md
  • Direct secure messaging: john.gross@1071.chartlogic.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1245209550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013009",
            "telephone_number": "606-324-2451",
            "fax_number": "606-324-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 LEXINGTON AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411013009",
            "telephone_number": "606-324-2451",
            "fax_number": "606-324-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "28089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160061",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64280894",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180021151",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.