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DR. PAULL CAMERON GOSSETT MD
NPI 1154816122
Orthopaedic Surgery in Grand Rapids, MI

Active since June 22, 2018PECOS EnrolledAccepts Medicare Assignment
75.39/100
CMS Quality Rating
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525(616) 459-7101(616) 464-6170 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2025, Jul 29, 2024, Jul 19, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Paull Cameron Gossett Md NPPES

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

DR. PAULL CAMERON GOSSETT MD (NPI 1154816122) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301502895) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1154816122
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PAULL CAMERON GOSSETTCredential: MD
Location Address1111 LEFFINGWELL AVE NEGrand Rapids, MI 49525-6406
Mailing Address1111 Leffingwell Ave NeGrand Rapids, MI 49525-6406 · (616) 459-7101 · Fax (616) 464-6170
Phone(616) 459-7101
Fax(616) 464-6170
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018
Enumeration DateJune 22, 2018
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1154816122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301502895
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paull Cameron Gossett 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 ID1456695022
PECOS Enrollment IDI20240514003929
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Paull Gossett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Associates Of Grand Rapids, PC
Same address
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 69 clinicians in this Medicare group
NPI 1023021300 (616) 459-7101
Metropolitan Hospital
2.8 mi
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1720590961 (616) 252-4010
Sparrow Carson Hospital
22 mi
Rural Health
1014 E WASHINGTON ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
NPI 1689644403 (616) 754-7145
University Orthopedics, Inc.
729 mi
Orthopaedic Surgery
2 DUDLEY ST STE 200
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 222 clinicians in this Medicare group
NPI 1235181041 (401) 457-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.
51 services37 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
35 services29 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.
35 services35 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
34 services29 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
30 services29 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.
28 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

75.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.78
Promoting Interoperability95
Improvement Activities40
Cost62.35

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.

JUSTIN MICHAEL MILLER PA
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
DR. CHARLES D BUKREY MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
LAURA L BUCKS OT
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
KURT THOMAS GEFFKEN MD
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
SCOTT DAVID BURGESS MD
Orthopaedic Surgery (Hand Surgery)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
KELLY J NYE OT
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101
JOSEPH N PIGORSH PAC
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE, STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 459-7101

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 Paull Gossett's NPI number?

The NPI number for Paull Gossett is 1154816122. It was assigned to this individual provider in the NPPES registry on June 22, 2018.

Where is Paull Gossett located?

Paull Gossett practices at 1111 Leffingwell Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Paull Gossett's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Paull Gossett enrolled in Medicare?

Yes. Paull Gossett 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.

Which organizations bill Medicare for Paull Gossett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paull Gossett reassigns Medicare benefits to 4 organizations: Orthopaedic Associates Of Grand Rapids, PC (Grand Rapids, MI), Metropolitan Hospital (Grand Rapids, MI), Sparrow Carson Hospital (Greenville, MI) and University Orthopedics, Inc. (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Paull Gossett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paull Gossett accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Paull Gossett 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 Paull Gossett affiliated with any hospitals?

According to CMS data, Paull Gossett is affiliated with Spectrum Health United Hospital, Spectrum Health, Sparrow Carson Hospital and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Paull Gossett was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.