Individual provider Active NPI

Peter G Gross, M.D.

  • Ophthalmology Physician
  • Bryn Mawr, PA
National Provider Identifier
1487718201
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD029947E Issued in PA
Practice address
958 County Line Rd
Conestoga Medical BLDG Ste 106
Bryn Mawr, PA 19010-2585
Phone
(610) 525-8282
Fax
(610) 525-7766
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2009

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 MD029947E PA Primary

Addresses

Primary practice location

958 County Line Rd
Conestoga Medical BLDG Ste 106
Bryn Mawr, PA 19010-2585

Mailing address

958 County Line Rd
Conestoga Medical BLDG Ste 106
Bryn Mawr, PA 19010-2585
Phone (610) 525-8282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000701 PA Practitioner - Ophthalmology 8022187186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter G Gross MD PHD PCGroup PAC ID 4981775269, 2 clinicians

Practice addresses (Care Compare)

958 County Line Rd
Suite 106
Bryn Mawr, PA 19010-2585
Phone (610) 525-8282

Hospital & facility affiliations

  • Residential Home Health of Carlisle LLC Home health agency, Havertown, PA, CCN 397645
  • Jefferson Health at Home by Bayada Home health agency, Philadelphia, PA, CCN 397643

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peter G Gross MD PHD PC Ophthalmology CurrentSince Sep 5, 1984 Accepting new patients
Macula Eye Care Ophthalmology PLLC Ophthalmology PastSince May 1, 2014 Accepting new patients

Locations

958 County Line Rd
Ste 106
Bryn Mawr, PA 19010
Phone (610) 525-2273

958 County Line Rd
Bryn Mawr, PA 19010
Phone (610) 527-2443

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 2

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1487718201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 COUNTY LINE RD",
            "address_2": "CONESTOGA MEDICAL BLDG STE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102585",
            "telephone_number": "610-525-8282",
            "fax_number": "610-525-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 COUNTY LINE RD",
            "address_2": "CONESTOGA MEDICAL BLDG STE 106",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102585",
            "telephone_number": "610-525-8282",
            "fax_number": "610-525-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029947E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.