DR. PAUL J GRUBER M.D.
NPI 1134547656
Dermatology in Saint Peters, MO

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
83.31/100
CMS Quality Rating
5700 MEXICO RD STE 14, SAINT PETERS, MO 63376(636) 277-0371(636) 447-4161 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2023, Sep 16, 2021, Feb 18, 2021 and 4 more (7 updates tracked since 2018).

About Dr. Paul J Gruber M.d. NPPES

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

DR. PAUL J GRUBER M.D. (NPI 1134547656) is an individual dermatology provider in Saint Peters, Missouri, licensed in Missouri (2019029136) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Wright State University Boonshoft School Of Medicine (2014).

NPPES Registry Identity

NPI1134547656
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. PAUL J GRUBERCredential: M.D.
Location Address5700 MEXICO RD STE 14Saint Peters, MO 63376-1667
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(636) 447-4161
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateAugust 16, 20237 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
NPI 1134547656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in MO · 2019029136 Licensed in OH · 35.133142
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 2019029136 (MO)
5700 MEXICO RD STE 14, Saint Peters, MO 63376

Secondary Practice Locations 2

Location 18567 Watson Rd Ste AWebster Groves, MO 63119-5251 · Phone (314) 528-9040 · Fax (314) 528-9041
Location 212855 N 40 Dr Ste 180Saint Louis, MO 63141-8657 · Phone (314) 878-5599 · Fax (314) 392-4290

Accepted 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

Dr. Paul J Gruber M.d. 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 ID6507168937
PECOS Enrollment IDI20190822001101
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 24

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.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
435 services363 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
201 services140 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
115 services109 patients
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.
95 services68 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 services78 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032
This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.
73 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63376 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

83.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.38
Promoting Interoperability99
Improvement Activities40
Cost65.82

Reported Quality Measures

Advance Care Plan
76%532 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%80 patients
Melanoma: Coordination of Care
77%147 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 633 patients
Patients screened: 99% · 633 patients
83%36 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
90%805 patients4/55-star benchmark: 100%
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 3

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

Nurse Practitioner
5700 MEXICO RD STE 14
SAINT PETERS, MO 63376
Dermatology
5700 MEXICO RD STE 14
SAINT PETERS, MO 63376
Physician Assistant (Medical)
5700 MEXICO RD STE 14
SAINT PETERS, MO 63376

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 Paul Gruber's NPI number?

The NPI number for Paul Gruber is 1134547656. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Paul Gruber located?

Paul Gruber practices at 5700 Mexico Rd Ste 14, Saint Peters, MO 63376. The listed phone number is (636) 277-0371.

What is Paul Gruber's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Paul Gruber enrolled in Medicare?

Yes. Paul Gruber 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 Paul Gruber accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Paul Gruber 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.

When was this NPI record last updated?

The NPPES record for Paul Gruber was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.