NICOLE EVA GROSS M.D.
NPI 1295729762
Ophthalmology in Springfield, PA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 W SPROUL RD STE 100, SPRINGFIELD, PA 19064(610) 690-4900 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2022, Sep 23, 2019 (2 updates tracked since 2019).

About Nicole Eva Gross M.d. NPPES

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

NICOLE EVA GROSS M.D. (NPI 1295729762) is an individual ophthalmology provider in Springfield, Pennsylvania, licensed in Pennsylvania (MD072039L) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Temple University School Of Medicine (1998).

NPPES Registry Identity

NPI1295729762
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameNICOLE EVA GROSSCredential: M.D.
Location Address100 W SPROUL RD STE 100Springfield, PA 19064-2033
Mailing Address958 County Line Rd, Ste 106Bryn Mawr, PA 19010-2585 · (212) 744-2513 · Fax (212) 744-4816
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1998
Enumeration DateSeptember 9, 2005
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
NPI 1295729762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD072039L Licensed in NY · 224964
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

100 W SPROUL RD STE 100, Springfield, PA 19064

Secondary Practice Location 1

Location 167 E 78th StNew York, NY 10075-0273 · Phone (212) 744-2513 · Fax (212) 744-4816

Other Identifiers 1

Medicaid02354098NY

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

Nicole Eva Gross 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 ID7911965389
PECOS Enrollment IDI20140617001580
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 5

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
128 services40 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
105 services39 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
73 services19 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
72 services19 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
24 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19064 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Ophthalmology
100 W SPROUL RD STE 100
SPRINGFIELD, PA 19064
Ophthalmology
100 W SPROUL RD STE 100
SPRINGFIELD, PA 19064

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 Nicole Gross's NPI number?

The NPI number for Nicole Gross is 1295729762. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Nicole Gross located?

Nicole Gross practices at 100 W Sproul Rd Ste 100, Springfield, PA 19064. The listed phone number is (610) 690-4900.

What is Nicole Gross's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nicole Gross enrolled in Medicare?

Yes. Nicole Gross 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.

When was this NPI record last updated?

The NPPES record for Nicole Gross was last updated on August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.