JOSEPH M GROSSMAN M.D. NPI 1285674713
Pathology - Anatomic Pathology & Clinical Pathology in Florence, SC

About JOSEPH M GROSSMAN M.D.

Joseph Grossman is a provider established in Florence, South Carolina and his medical specialization is Pathology with a focus in anatomic pathology & clinical pathology with more than 25 years of experience. He graduated from Rutgers New Jersey Medical School in 1998. The NPI number of this provider is 1285674713 and was assigned on June 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number 29272 (SC). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1285674713
Provider Name JOSEPH M GROSSMAN M.D.
Location Address805 PAMPLICO HWY PEE DEE PATHOLOGY SUITE B-210 FLORENCE, SC 29505
Location Phone(843) 664-4314
Mailing Address805 PAMPLICO HWY PEE DEE PATHOLOGY SUITE B-210 FLORENCE, SC 29505
GenderMale
NPI Entity TypeIndividual
Medical School NameRUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year1998
Is Sole Proprietor?No
Enumeration Date06-06-2006
Last Update Date02-28-2008

Joseph Grossman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Joseph Grossman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 87.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: .

The typical physician office visit costs for Medicare beneficiaries in this area are: $32.11 for a new patient copayment and $24.79 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207ZP0102X
ClassificationPathology
TypeAllopathic & Osteopathic Physicians
SpecializationAnatomic Pathology & Clinical Pathology
License No.29272
License StateSC
Taxonomy DescriptionA pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

805 PAMPLICO HWY
PEE DEE PATHOLOGY SUITE B-210
FLORENCE, SC
ZIP 29505
Phone: (843) 664-4314

Get Directions


Mailing Address

805 PAMPLICO HWY
PEE DEE PATHOLOGY SUITE B-210
FLORENCE, SC
ZIP 29505
Phone: (843) 664-4314


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8729071949
PECOS Enrollment IDI20060925000111
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 29505 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$55.43 $169.76 $128.46
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$13.85 $42.44 $32.11
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.06 $138.69 $99.16
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.26 $34.67 $24.79

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 85
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 87.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1499Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • 526Special stained specimen slides to examine tissue (HCPCS:88341)
  • 270Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • 221Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • 141Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology209874MANo

Taxonomy Description: a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
I00822MEDICARE UPIN (02)
5904721MEDICAID (05)NC
P00343696MEDICARE PIN (08)SC
292720MEDICAID (05)SC

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285674713
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165127872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 2 + 7 + 8 + 7 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1285674713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902880503DR. MICHELE GIBBS PHIPPS MD
Individual
Emergency Medicine805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 674-5143
1164400123 ROBERT JOSEPH HEALY JR. MD
Individual
Psychiatry & Neurology (Neurology)805 PAMPLICO HWY SUITE A130
FLORENCE, SC 29505
(843) 664-9200
1679532915 PAULA BLANCO PANDO CRNA
Individual
Nurse Anesthetist, Certified Registered805 PAMPLICO HWY
FLORENCE, SC 29505
(800) 642-1999
1629033923DR. LOUIS DIXON WRIGHT JR. M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)805 PAMPLICO HWY SUITE B-210
FLORENCE, SC 29505
(843) 629-2946
1396702072 DAVID EARL BECK
Individual
Nurse Anesthetist, Certified Registered805 PAMPLICO HWY CAROLINA HOSPITAL SYSTEM
FLORENCE, SC 29505
(843) 674-5000
1679530968CAROLINAS MEDICAL ALLIANCE INC
Organization
General Practice805 PAMPLICO HWY STE B 300
FLORENCE, SC 29505
(843) 676-2760
1447218128 JAMES HARRIS MD
Individual
Surgery805 PAMPLICO HWY STE A 230
FLORENCE, SC 29505
(843) 669-1220
1376591206CAROLINAS MEDICAL ALLIANCE INC
Organization
General Practice805 PAMPLICO HWY STE A 320
FLORENCE, SC 29505
(843) 665-1280
1457301848CAROLINAS MEDICAL ALLIANCE INC
Organization
Family Medicine805 PAMPLICO HWY STE A 230
FLORENCE, SC 29505
(843) 669-1220
1174573570CAROLINAS MEDICAL ALLIANCE INC
Organization
General Practice805 PAMPLICO HWY STE A 230
FLORENCE, SC 29505
(843) 669-1220
1548204803INTERNAL MEDICINE ASSOCIATES PC
Organization
Clinic/Center (Primary Care)805 PAMPLICO HWY SUITE B310
FLORENCE, SC 29505
(843) 662-1516
1326071374 MARTIN F EVALDI MD
Individual
Anesthesiology805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 664-3301
1922031996 FAYE J DOWLING CNA
Individual
Nurse Anesthetist, Certified Registered805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 664-3301
1447278858 DIANA J WARD CRNA
Individual
Nurse Anesthetist, Certified Registered805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 664-3301
1790703155 COLEMAN L FLOYD MD
Individual
Anesthesiology805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 664-3301
1699793075 PHILIP C MOORE MD
Individual
Anesthesiology805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 664-3301
1568476133QHG OF SOUTH CAROLINA INC
Organization
Anesthesiology805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 674-2500
1679661912DR. LORRAINE PUSSER WILLCOX M.D.
Individual
Anesthesiology805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 664-3301
1558436063QHG OF SOUTH CAROLINA INC
Organization
Emergency Medicine805 PAMPLICO HWY
FLORENCE, SC 29505
(843) 674-2500
1831212547 SAIKIRAN SHANKARNARAYAN M.D.
Individual
Family Medicine805 PAMPLICO HWY SUITE A-315
FLORENCE, SC 29505
(843) 679-4260

Frequently Asked Questions

What is Joseph Grossman M.D. NPI number?

The NPI number assigned to this healthcare provider is 1285674713, registered as an "individual" on June 06, 2006

Where is Joseph Grossman M.D. located?

The provider is located at 805 Pamplico Hwy Pee Dee Pathology Suite B-210 Florence, Sc 29505 and the phone number is (843) 664-4314

Which is Joseph Grossman M.D. specialty?

The provider's speciality is Pathology with a focus in Anatomic Pathology & Clinical Pathology

How many years of experience does Joseph Grossman M.D. have?

The provider has more than 25 years of experience. He graduated from Rutgers New Jersey Medical School in 1998.

What insurance does Joseph Grossman M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Joseph Grossman M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Joseph Grossman M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Joseph Grossman M.D.?

Medicare beneficiaries should expect a typical cost of $128.46 with an average copayment of $32.11 for new patient appointments. Established patients should expect a typical charge of $99.16 and an average copayment of 24.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Joseph Grossman M.D.?

The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Tissue or cell analysis by immunologic technique, Pathology examination of tissue using a microscope, moderately low complexity and Pathology examination of tissue using a microscope, moderately high complexity.

How do I update my NPI information?

The NPI record of Joseph Grossman M.D. was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]