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DR. MICHAEL L. GROSS M.D.
NPI 1396712337
Orthopaedic Surgery in Hackensack, NJ

Active since March 08, 2006PECOS Enrolled
25 PROSPECT AVE, HACKENSACK, NJ 07601(201) 343-2277(201) 343-7410 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael L. Gross M.d. NPPES

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

DR. MICHAEL L. GROSS M.D. (NPI 1396712337) is an individual orthopaedic surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA05362900) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396712337
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MICHAEL L. GROSSCredential: M.D.
Location Address25 PROSPECT AVEHackensack, NJ 07601-1960
Mailing Address25 Prospect AveHackensack, NJ 07601-1960 · (201) 343-2277 · Fax (201) 343-7410
Phone(201) 343-2277
Fax(201) 343-7410
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1396712337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NJ · 25MA05362900
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 25MA05362900 (NJ)
25 PROSPECT AVE, Hackensack, NJ 07601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael L. Gross 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Gross reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Orthopedics And Sports Medicine, LLC
Same address
Sports Medicine
25 PROSPECT AVE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Active Orthopedics & Sports Medicine LLC.
  • 16 clinicians in this Medicare group
NPI 1922389600 (201) 343-2277
Bergen County Improvement Authority
5.0 mi
Internal Medicine
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 120 clinicians in this Medicare group
NPI 1891836441 (201) 967-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%6,487 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
37%657 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
11%657 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%2,398 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%741 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,601 patients
Patients tobacco: 99% · 1,601 patients
70%30 patients3/55-star benchmark: 98%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
14%73 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 20

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

DR. LAURENCE LIM DPT, OCS, CRED.MDT
Physical Therapist (Orthopedic)
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 342-1404
CHRISTOPHER LANDS DPT
Physical Therapist
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-2700
ACTIVE ORTHOPEDIC SPECIALISTS, LLC
Orthopaedic Surgery
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-2277
MUJTABA QURESHI DPM
Podiatrist
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-2277
BERGEN HAND SPECIALISTS, INC.
Orthopaedic Surgery (Hand Surgery)
25 PROSPECT AVE, SUITE #1
HACKENSACK, NJ 07601
Bergen County (201) 880-4200
DR. OSCAR VAZQUEZ M.D.
Orthopaedic Surgery
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-2277
DR. FARZANA N CHOWDHURY DPM
Podiatrist
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-2277
KARLIE GILBECK PA-C
Physician Assistant (Surgical)
25 PROSPECT AVE
HACKENSACK, NJ 07601
Bergen County (201) 343-2277

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 Michael Gross's NPI number?

The NPI number for Michael Gross is 1396712337. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Michael Gross located?

Michael Gross practices at 25 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 343-2277.

What is Michael Gross's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Gross enrolled in Medicare?

Yes. Michael Gross is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Gross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gross reassigns Medicare benefits to 2 organizations: Active Orthopedics And Sports Medicine, LLC (Hackensack, NJ) and Bergen County Improvement Authority (Paramus, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Gross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gross accept?

Health plans from Oscar Health list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Gross was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.