DAVID J GROSS MD
NPI 1346225828
Dermatology in St Augustine, FL

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1100 S PONCE DE LEON BLVD STE 3B, ST AUGUSTINE, FL 32084(813) 321-1786(813) 321-1787 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David J Gross Md NPPES

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

DAVID J GROSS MD (NPI 1346225828) is an individual dermatology provider in St Augustine, Florida, licensed in Florida (ME62729) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of New York Medical College (1984).

NPPES Registry Identity

NPI1346225828
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDAVID J GROSSCredential: MD
Location Address1100 S PONCE DE LEON BLVD STE 3BSt Augustine, FL 32084-6013
Mailing Address18228 N Us Highway 41Lutz, FL 33549-4400 · (813) 321-1786 · Fax (813) 321-1787
Fax(813) 321-1787
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1984
Enumeration DateDecember 7, 2005
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
NPI 1346225828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME62729
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1100 S PONCE DE LEON BLVD STE 3B, St Augustine, FL 32084

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

David J Gross Md 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 ID7618045790
PECOS Enrollment IDI20081002000055
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 29

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,481 services447 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
2,395 services1,389 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,025 services684 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
284 services284 patients
Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm 17262
This procedure involves removing a cancerous skin growth on the trunk, arms, or legs that is between 1.1 and 2.0 cm in size. The growth is destroyed using methods like surgery, laser, or freezing, aiming to eliminate cancer and prevent its spread.
227 services171 patients
Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm 11302
This procedure involves the careful removal of a skin growth on your body, arms, or legs. The growth is between 1.1 and 2.0 cm. A special tool is used to shave off the growth, which is a quick and relatively painless process.
157 services127 patients

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%2,370 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%6,130 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%250 patients
Melanoma: Coordination of Care
100%32 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%3,470 patients5/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
100%81 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Dermatology
1100 S PONCE DE LEON BLVD STE 3B
ST AUGUSTINE, FL 32084
Dermatology
1100 S PONCE DE LEON BLVD STE 3B
ST AUGUSTINE, FL 32084
Dermatology
1100 S PONCE DE LEON BLVD STE 3B
ST AUGUSTINE, FL 32084

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 David Gross's NPI number?

The NPI number for David Gross is 1346225828. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is David Gross located?

David Gross practices at 1100 S Ponce De Leon Blvd Ste 3B, St Augustine, FL 32084. The listed phone number is (813) 321-1786.

What is David Gross's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is David Gross enrolled in Medicare?

Yes. David 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.

What insurance does David Gross accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans and UnitedHealthcare list David 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.

Is David Gross affiliated with any hospitals?

According to CMS data, David Gross is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for David Gross was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.