GLEN GROSS
NPI 1467814467
Radiology - Diagnostic Radiology in Roseville, MN

Q: What is Glen Gross's NPI number?

The NPI number for Glen Gross is 1467814467. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Q: What is Glen Gross's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glen Gross was last updated on August 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment

98.25/100

CMS Quality Rating

2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2022, Jul 23, 2021, Mar 28, 2016 (3 updates tracked since 2016).

On this page

About Glen Gross NPPES

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

GLEN GROSS (NPI 1467814467) is an individual diagnostic radiology provider in Roseville, Minnesota, licensed in Minnesota (69817) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1467814467

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameGLEN GROSS

Location Address2355 HWY 36 W., STE. 100Roseville, MN 55113

Mailing Address2355 Hwy 36 W., Ste. 100Roseville, MN 55113 · (651) 292-2000

Phone(651) 292-2000

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016

Enumeration DateMarch 28, 2016

Last NPPES UpdateAugust 22, 20223 updates tracked since enumeration

NPPES CertifiedAugust 22, 2022

✔ NPI 1467814467 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 MN · 69817

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2355 HWY 36 W., Roseville, MN 55113

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross Blue Shield of North Dakota.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

Glen Gross 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 ID4880986884

PECOS Enrollment IDI20210803003763, I20220926003159

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 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.

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

1,222 services784 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

1,114 services708 patients

Screening mammography 77067

734 services734 patients

Screening 3d breast mammography 77063

689 services689 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

146 services146 patients

Limited ultrasound scan of 1 breast 76642

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

123 services123 patients

Hospital Affiliations CMS Care Compare 5

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240038

Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County

Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240078

Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County

Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Johnson Memorial Hospital

Critical Access Hospitals · Dawson, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241314

Location1282 Walnut StreetDawson, MN 56232 · Lac Qui Parle County

Emergency services

Western Wisconsin Health

Critical Access Hospitals · Baldwin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521347

Location1100 Bergslien StBaldwin, WI 54002 · St. Croix County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

98.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.83

Promoting Interoperability

100

Improvement Activities

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. GRANT MICHAEL RIESBERG MD

Radiology (Diagnostic Radiology)