MR. MATTHEW GROSS CNP
NPI 1154847481
Nurse Practitioner - Family in Rapid City, SD

Q: What is Matthew Gross's NPI number?

The NPI number for Matthew Gross is 1154847481. It was assigned to this individual provider in the NPPES registry on August 17, 2017.

Q: What is Matthew Gross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Gross was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 17, 2017PECOS Enrolled

97.58/100

CMS Quality Rating

4150 5TH ST, RAPID CITY, SD 57701(605) 755-4300 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Aug 17, 2017 (2 updates tracked since 2017).

On this page

About Mr. Matthew Gross Cnp NPPES

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

MR. MATTHEW GROSS CNP (NPI 1154847481) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (CP001253) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rapid City.

NPPES Registry Identity

NPI1154847481

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. MATTHEW GROSSCredential: CNP

Location Address4150 5TH STRapid City, SD 57701-6022

Mailing Address1115 Sitka StRapid City, SD 57701-2085

Phone(605) 755-4300

Sole ProprietorNo

Enumeration DateAugust 17, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1154847481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SD · CP001253

4150 5TH ST, Rapid City, SD 57701

Open in Google Maps ↗

Secondary Practice Location 1

Location 1353 Fairmont BlvdRapid City, SD 57701-7375 · Phone (605) 755-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Gross Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

58 services58 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.

47 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

Most-billed visit code 99214

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

REBECCA BIERLE

Nurse Practitioner