MR. PAUL K GROSS M.D.
NPI 1598871097
Psychiatry & Neurology - Psychiatry in Allentown, PA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
13.33/100
CMS Quality Rating
1245 SOUTH CEDAR CREST BLVD., SUITE 303, ALLENTOWN, PA 18103(610) 820-3900(610) 820-8647 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2025, Dec 6, 2024 (2 updates tracked since 2024).

About Mr. Paul K Gross M.d. NPPES

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

MR. PAUL K GROSS M.D. (NPI 1598871097) is an individual psychiatry provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD014403E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1972).

NPPES Registry Identity

NPI1598871097
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. PAUL K GROSSCredential: M.D.
Location Address1245 SOUTH CEDAR CREST BLVD., SUITE 303Allentown, PA 18103
Mailing Address1245 South Cedar Crest Blvd., Suite 303Allentown, PA 18103 · (610) 820-3900 · Fax (610) 820-8647
Fax(610) 820-8647
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1972
Enumeration DateAugust 21, 2006
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
NPI 1598871097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in PA · MD014403E
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License MD014403E (PA)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License MD014403E (PA)
1245 SOUTH CEDAR CREST BLVD., Allentown, PA 18103

Other Identifiers 6

Medicaid0005529530001PA
Other004780000Magellan
Other260045197PA · Railroad Medicare
Other163384PA · Highmark Blue Shield
OtherP711319Oxford
Other01197501PA · Capital Blue Cross

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

Mr. Paul K 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 ID8123082955
PECOS Enrollment IDI20050316000220
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 6

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.

Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management 90868
This treatment involves using a magnetic field to activate nerve cells in the brain. It's a non-invasive procedure designed to manage conditions like depression. The magnetic field is precisely targeted to stimulate specific areas of the brain to improve symptoms.
975 services25 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.
930 services203 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
47 services20 patients
Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management 90867
This treatment involves using a magnetic field to stimulate nerve cells in the brain. It's a non-invasive procedure, meaning no surgery is required. The aim is to improve symptoms of certain mental health conditions. Initial delivery and management refers to the start of your treatment plan.
30 services25 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services12 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

13.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.66
Improvement Activities0

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
1245 SOUTH CEDAR CREST BLVD., SUITE 303
ALLENTOWN, PA 18103

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 Paul Gross's NPI number?

The NPI number for Paul Gross is 1598871097. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Paul Gross located?

Paul Gross practices at 1245 South Cedar Crest Blvd. Suite 303, Allentown, PA 18103. The listed phone number is (610) 820-3900.

What is Paul Gross's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Paul Gross enrolled in Medicare?

Yes. Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Gross was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.