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JOSEPH W. GROSS M.D.
NPI 1457355232
Internal Medicine - Infectious Disease in Newburyport, MA

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
21 HIGHLAND AVE, STE 5, NEWBURYPORT, MA 01950(978) 499-3810(978) 462-2316 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joseph W. Gross M.d. NPPES

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

JOSEPH W. GROSS M.D. (NPI 1457355232) is an individual infectious disease provider in Newburyport, Massachusetts, licensed in Massachusetts (224290) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1457355232
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameJOSEPH W. GROSSCredential: M.D.
Location Address21 HIGHLAND AVE, STE 5Newburyport, MA 01950-3872
Mailing Address21 Highland Ave, Ste 5Newburyport, MA 01950-3872 · (978) 499-3810 · Fax (978) 462-2316
Phone(978) 499-3810
Fax(978) 462-2316
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2000
Enumeration DateJune 9, 2005
Last NPPES UpdateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1457355232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MA · 224290
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
21 HIGHLAND AVE, Newburyport, MA 01950
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Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-3872 · Phone (781) 744-8000

Other Identifiers 11

Other31068YNH · Anthem Blue Cross
Other975191Network Health
Other8575792Cigna
OtherAA37921MA · Harvard Pilgrim
Other468346MD · Tufts
OtherJ28902MA · Blue Cross Blue Shield
Medicaid110041461AMA
Other92-00461Evercare
Other30205218NH · Nh Medicaid
Other0035649Neighborhood Health Plan
Other683105Healthsource

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph W. Gross 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 ID9537197926
PECOS Enrollment IDI20050727000762
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 Joseph Gross reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beth Israel Lahey Health Primary Care, Inc.
8.3 mi
Clinic/Center
223-225 LINCOLN AVE., SUITE 231A
Haverhill, MA 01830
  • Reassigned Medicare billing, Massachusetts enrollment
  • 410 clinicians in this Medicare group
NPI 1174042337 (774) 373-8630
Beth Israel Lahey Health Specialty Care, Inc.
17 mi
Internal Medicine
298 WASHINGTON ST
Gloucester, MA 01930
  • Reassigned Medicare billing, Massachusetts enrollment
  • 477 clinicians in this Medicare group
NPI 1235147760 (978) 282-3681

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

Areas of Expertise CMS Part B claims 10

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
130 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
120 services66 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
90 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services28 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
37 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01950 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

SEACOAST MEDICAL ASSOCIATES, PC
Internal Medicine
21 HIGHLAND AVE, SUITE 24
NEWBURYPORT, MA 01950
Essex County (978) 462-1555
DR. SADRUDDIN B HEMANI MD
Otolaryngology (Otolaryngic Allergy)
21 HIGHLAND AVE, SUITE 10
NEWBURYPORT, MA 01950
Essex County (978) 462-3166
DR. PAUL EDWARD TURNQUIST M.D.
Family Medicine
21 HIGHLAND AVE, SUITE 2
NEWBURYPORT, MA 01950
Essex County (978) 463-7770
DR. RICHARD GRAD TRAISTER M.D.
Family Medicine
21 HIGHLAND AVE, SUITE 2
NEWBURYPORT, MA 01950
Essex County (978) 463-7770
DR. BERNHARD HEERSINK MD
Ophthalmology
21 HIGHLAND AVE, SUITE #1
NEWBURYPORT, MA 01950
Essex County (978) 462-8751
COURTNEY R LUCEY PA-C
Physician Assistant
21 HIGHLAND AVE
NEWBURYPORT, MA 01950
Essex County (978) 473-7770
HELENE HUTCHINSON
Nurse Practitioner (Primary Care)
21 HIGHLAND AVE, SUITE 24
NEWBURYPORT, MA 01950
Essex County (978) 462-1555
MEGHAN CHASE NP
Nurse Practitioner (Family)
21 HIGHLAND AVE, SUITE 24
NEWBURYPORT, MA 01950
Essex County (978) 462-1555

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 Joseph Gross's NPI number?

The NPI number for Joseph Gross is 1457355232. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Joseph Gross located?

Joseph Gross practices at 21 Highland Ave Ste 5, Newburyport, MA 01950. The listed phone number is (978) 499-3810.

What is Joseph Gross's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Joseph Gross enrolled in Medicare?

Yes. Joseph 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.

Which organizations bill Medicare for Joseph Gross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Gross reassigns Medicare benefits to 2 organizations: Beth Israel Lahey Health Primary Care, Inc. (Haverhill, MA) and Beth Israel Lahey Health Specialty Care, Inc. (Gloucester, MA). 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 Joseph Gross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Gross accept?

Health plans from Taro Health list Joseph 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 Joseph Gross affiliated with any hospitals?

According to CMS data, Joseph Gross is affiliated with Northeast Hospital Corporation, North Shore Medical Center -, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Joseph Gross was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.