ANTHONY FRANK GROSSO JR. DO
NPI 1396742979
Ophthalmology in Pottsville, PA

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
75.91/100
CMS Quality Rating
201 E LAUREL BLVD, POTTSVILLE, PA 17901(570) 628-4444(570) 628-3088 Get Directions Write a Review

NPPES record last updated: December 10, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Frank Grosso Jr. Do NPPES

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

ANTHONY FRANK GROSSO JR. DO (NPI 1396742979) is an individual ophthalmology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (05012190) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1998).

NPPES Registry Identity

NPI1396742979
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameANTHONY FRANK GROSSO JR.Credential: DO
Location Address201 E LAUREL BLVDPottsville, PA 17901-2534
Mailing Address201 E Laurel BlvdPottsville, PA 17901-2534 · (570) 628-4444 · Fax (570) 628-3088
Fax(570) 628-3088
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1998
Enumeration DateJune 28, 2005
Last NPPES UpdateDecember 10, 2009
NPI 1396742979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · 05012190
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.
201 E LAUREL BLVD, Pottsville, PA 17901

Other Identifiers 3

Medicare PIN056922PA
Medicare UPINH58605
Medicaid001892154PA

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

Anthony Frank Grosso Jr. Do 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 ID5890777809
PECOS Enrollment IDI20040603000720
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 15

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.

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.
817 services738 patients
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.
463 services386 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.
401 services333 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
307 services187 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
296 services167 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
152 services152 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

75.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost19.72

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers18 claims18 services$46.16 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims28 services$52.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Optometrist
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Optometrist
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Clinic/Center (Ambulatory Surgical)
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD, POTTSVILLE
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901

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 Anthony Grosso's NPI number?

The NPI number for Anthony Grosso is 1396742979. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Anthony Grosso located?

Anthony Grosso practices at 201 E Laurel Blvd, Pottsville, PA 17901. The listed phone number is (570) 628-4444.

What is Anthony Grosso's specialty?

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

Is Anthony Grosso enrolled in Medicare?

Yes. Anthony 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.

Is Anthony Grosso affiliated with any hospitals?

According to CMS data, Anthony Grosso is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Anthony Grosso was last updated on December 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.