EDWARD A DEL GROSSO M.D.
NPI 1316028665
Radiology - Diagnostic Radiology in Newark, OH

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
99.2/100
CMS Quality Rating
1320 W. MAIN STREET, NEWARK, OH 43055(740) 348-4779(740) 348-4740 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward A Del Grosso M.d. NPPES

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

EDWARD A DEL GROSSO M.D. (NPI 1316028665) is an individual diagnostic radiology provider in Newark, Ohio, licensed in Ohio (35-079067) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1987).

NPPES Registry Identity

NPI1316028665
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameEDWARD A DEL GROSSOCredential: M.D.
Location Address1320 W. MAIN STREETNewark, OH 43055-1822
Mailing AddressP.o. Box 948, 2112 Cherry Valley Rd.,Newark, OH 43058-0948 · (740) 522-3774 · Fax (740) 522-2221
Fax(740) 348-4740
Sole ProprietorYes
Medical School CMSOhio State University College Of MedicineGraduated 1987
Enumeration DateOctober 17, 2006
Last NPPES UpdateNovember 1, 2011
NPI 1316028665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in OH · 35-079067
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1320 W. MAIN STREET, Newark, OH 43055

Other Identifiers 7

Medicare ID-Type UnspecifiedDE4058071OH
Other310851206015Medical Mutual Of Ohio
Other000000195585Anthem Bc/bs
Medicaid2224524OH
Other300124726Railroad Medicare
Medicare UPINF75790
Other000000195585Anthem Bc/bs-federal

Accepted Insurance

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

Edward A Del Grosso 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 ID2769537976
PECOS Enrollment IDI20090910000660
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 32

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
422 services327 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
257 services239 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
113 services110 patients
X-ray of abdomen, 1 view 74018
An X-ray of the abdomen, 1 view, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the structures in your abdomen, such as the stomach, liver, and intestines. This can help identify issues like blockages, infections, or injuries.
102 services86 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
66 services58 patients
Limited ultrasound scan of abdomen 76705
A limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
64 services63 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

99.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.86
Improvement Activities40

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 Edward Del Grosso's NPI number?

The NPI number for Edward Del Grosso is 1316028665. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Edward Del Grosso located?

Edward Del Grosso practices at 1320 W. Main Street, Newark, OH 43055. The listed phone number is (740) 348-4779.

What is Edward Del Grosso's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Edward Del Grosso enrolled in Medicare?

Yes. Edward Del Grosso 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.

What insurance does Edward Del Grosso accept?

Health plans from Molina Healthcare list Edward Del Grosso 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.

Is Edward Del Grosso affiliated with any hospitals?

According to CMS data, Edward Del Grosso is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Edward Del Grosso was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.