DR. REX DANIEL GROSSMAN M.D. - NPI 1306828322 - Ophthalmology in Bloomington, IN

Q: What is Rex Grossman's NPI number?

The NPI number for Rex Grossman is 1306828322. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Rex Grossman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rex Grossman was last updated on February 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Rex Daniel Grossman M.d. NPPES

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

DR. REX DANIEL GROSSMAN M.D. (NPI 1306828322) is an individual ophthalmology provider in Bloomington, Indiana, licensed in Indiana (IN01027063A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306828322

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. REX DANIEL GROSSMANCredential: M.D.

Location Address1011 W 2ND STBloomington, IN 47403-2216

Mailing Address1011 W 2nd StBloomington, IN 47403-2216 · (812) 334-1213 · Fax (812) 333-5039

Phone(812) 334-1213

Fax(812) 333-5039

Sole ProprietorNo

Enumeration DateNovember 16, 2005

Last NPPES UpdateFebruary 16, 2012

✔ NPI 1306828322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in IN · IN01027063A

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.

1011 W 2ND ST, Bloomington, IN 47403

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Other Identifiers 3

Medicare UPIND69753IN

Medicaid100358360AIN

Medicare ID-Type Unspecified549340AIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rex Daniel Grossman M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 7

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

CHARLES EDWARD HUCK O.D.

Optometrist