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LYNDON BERNARD GROSS M.D., PH.D
NPI 1215902648
Neuromusculoskeletal Medicine, Sports Medicine in Creve Coeur, MO

Active since February 20, 2006Opted out of Medicare · through Jan 1, 2028
11330 OLIVE BLVD, SUITE 150, CREVE COEUR, MO 63141(314) 336-2566(314) 948-9011 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lyndon Bernard Gross M.d., Ph.d NPPES

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

LYNDON BERNARD GROSS M.D., PH.D (NPI 1215902648) is an individual neuromusculoskeletal medicine, sports medicine provider in Creve Coeur, Missouri, licensed in Missouri (119343) and active in the NPI registry since February 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1215902648
Entity TypeIndividualMale
Primary Taxonomy204C00000X
Provider Legal NameLYNDON BERNARD GROSSCredential: M.D., PH.D
Location Address11330 OLIVE BLVD, SUITE 150Creve Coeur, MO 63141
Mailing Address11330 Olive Blvd, Suite 150Creve Coeur, MO 63141 · (314) 336-2566 · Fax (314) 948-9011
Phone(314) 336-2566
Fax(314) 948-9011
Sole ProprietorYes
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJune 6, 2024
✔ NPI 1215902648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in MO · 119343
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
11330 OLIVE BLVD, Creve Coeur, MO 63141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lyndon Bernard Gross M.d., Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2014 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2014
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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.

Other Providers at the Same Location NPPES 2

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

MAXIM HEALTHCARE SERVICES, INC.
Home Health
11330 OLIVE BLVD, SUITE 200
SAINT LOUIS, MO 63141
St. Louis County (314) 569-3935
HOPE N. HELLER, PH.D., PROFESSIONAL SERVICES
Social Worker (Clinical)
11330 OLIVE BLVD, SUITE 225
SAINT LOUIS, MO 63141
St. Louis County (314) 567-7500

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 Lyndon Gross's NPI number?

The NPI number for Lyndon Gross is 1215902648. It was assigned to this individual provider in the NPPES registry on February 20, 2006.

Where is Lyndon Gross located?

Lyndon Gross practices at 11330 Olive Blvd Suite 150, Creve Coeur, MO 63141. The listed phone number is (314) 336-2566.

What is Lyndon Gross's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

Is Lyndon Gross enrolled in Medicare?

No. Lyndon Gross has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lyndon Gross accept?

Health plans from UnitedHealthcare list Lyndon 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.

When was this NPI record last updated?

The NPPES record for Lyndon Gross was last updated on June 6, 2024. 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.