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WILLIAM ELSWORTH GROSS MD
NPI 1114916756
Otolaryngology in Pensacola, FL

Active since October 17, 2005PECOS EnrolledAccepts Medicare Assignment
81.93/100
CMS Quality Rating
5147 N 9TH AVE, PENSACOLA, FL 32504(850) 475-9025(850) 494-7855 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Feb 13, 2021, Jan 16, 2017 and 2 more (5 updates tracked since 2015).

About William Elsworth Gross Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM ELSWORTH GROSS MD (NPI 1114916756) is an individual otolaryngology provider in Pensacola, Florida, licensed in Florida (ME123489) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of Virginia School Of Medicine (1987).

NPPES Registry Identity

NPI1114916756
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameWILLIAM ELSWORTH GROSSCredential: MD
Location Address5147 N 9TH AVEPensacola, FL 32504-8771
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091
Phone(850) 475-9025
Fax(850) 494-7855
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1987
Enumeration DateOctober 17, 2005
Last NPPES UpdateOctober 3, 20245 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1114916756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME123489
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
5147 N 9TH AVE, Pensacola, FL 32504
Open in Google Maps ↗

Other Identifiers 2

OtherAZNV4FL · Florida Blue
Medicaid016139100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Elsworth Gross Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284823386
PECOS Enrollment IDI20151203001554
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services111 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services59 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
55 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
45 services41 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.14
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
54%67 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
50%567 patients3/55-star benchmark: 88%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
43%90 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
88%1,595 patients4/55-star benchmark: 100%
e-Prescribing
100%340 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%1,014 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%1,039 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 52% · 948 patients
Patients screened: 55% · 948 patients
52%63 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
79%460 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
72%339 patients3/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RICHARD J AMATO PA-C
Physician Assistant (Surgical)
5147 N 9TH AVE, STE 318
PENSACOLA, FL 32504
Escambia County (850) 462-2250
LUDOVIC M LASQUETY M.D.
Surgery
5147 N 9TH AVE, STE. 203
PENSACOLA, FL 32504
Escambia County (850) 476-6110
PENSACOLA BONE & JOINT CLINIC PA
Orthopaedic Surgery
5147 N 9TH AVE, SUITE 110
PENSACOLA, FL 32504
Escambia County (850) 479-7229
BRADLEY RICHARD CONTI P.A.
Physician Assistant (Surgical)
5147 N 9TH AVE, SUITE 322
PENSACOLA, FL 32504
Escambia County (850) 474-9995
MRS. ALLISON KIRKLAND TERRELL MS CCC A
Audiologist
5147 N 9TH AVE, MEDICAL MALL STE. 315
PENSACOLA, FL 32504
Escambia County (850) 473-0112
DR. STEVEN S. SAMII M.D.
Internal Medicine
5147 N 9TH AVE, SUITE 103
PENSACOLA, FL 32504
Escambia County (850) 416-6886
MCMAHON & RICKETSON MD PA
Surgery
5147 N 9TH AVE, STE. 203
PENSACOLA, FL 32504
Escambia County (850) 476-6110
KAREN DANNHEISSER M.A. CCC/A
Audiologist
5147 N 9TH AVE, SUITE 315
PENSACOLA, FL 32504
Escambia County (850) 473-0112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Gross's NPI number?

The NPI number for William Gross is 1114916756. It was assigned to this individual provider in the NPPES registry on October 17, 2005.

Where is William Gross located?

William Gross practices at 5147 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 475-9025.

What is William Gross's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is William Gross enrolled in Medicare?

Yes. William Gross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does William Gross accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list William Gross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is William Gross affiliated with any hospitals?

According to CMS data, William Gross is affiliated with Sacred Heart Hospital and Baptist Hospital.

When was this NPI record last updated?

The NPPES record for William Gross was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.