Jason P. Gross, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD153855 Issued in OR

Practice address

2460 Willamette St
Eugene, OR 97405-3169

Phone

(541) 683-3744

Fax

(541) 683-6672

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Ophthalmology

Education

Wayne State University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eugene Eye Clinic LLCGroup PAC ID 0244542843, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Eugene Eye Clinic, LLC

  • Ophthalmology Physician
  • Eugene, OR
  • NPI 1952789380
  Medicare reassignment Care Compare group NPD Authorized official
• Eugene Eye Clinic LLC

  • Eyewear Supplier
  • Eugene, OR
  • NPI 1912386004
  NPD
• Eastside Eye Physicians, PC

  • Ophthalmology Physician
  • Saint Clair Shores, MI
  • NPI 1093814188
  NPD (past)
• Eastside Eye Physicians, PC

  • Eyewear Supplier
  • Shelby Township, MI
  • NPI 1487782470
  NPD (past)
• Eastside Eye Physicians, PC

  • Eyewear Supplier
  • Saint Clair Shores, MI
  • NPI 1629106240
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546128000000",
    "number": "1609862846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053169",
            "telephone_number": "541-683-3744",
            "fax_number": "541-683-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053169",
            "telephone_number": "541-683-3744",
            "fax_number": "541-683-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "JASON",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2018-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301077983",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD153855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500687131",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104967123",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "180H27019",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "P00390624",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104983299",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "180H27019",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "382155439",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Todd Groff
• Margaux Groff
• Grace Grogman, MD
• Christina Gropp
• Justus Benidict Grose
• Richard A Gross, LCSW
• Sally J Grosscup, PHD
• Sean Michael Grosse, CADC-R, CRM, QMHA-R
• Ellisia Bond Grove, L.AC
• Heidi Ann Grove, LCSW

• Ophthalmology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.