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DR. ANDREW JACOB GROSS PHD, DMD
NPI 1629557012
Dentist - Oral and Maxillofacial Surgery in Boston, MA

Active since August 07, 2018PECOS EnrolledAccepts Medicare Assignment
55 FRUIT ST., WANG AMBULATORY BLDG SUITE230, BOSTON, MA 02114(617) 726-2740 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 10, 2024, Jun 20, 2023, Aug 7, 2018 (3 updates tracked since 2018).

About Dr. Andrew Jacob Gross Phd, Dmd NPPES

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

DR. ANDREW JACOB GROSS PHD, DMD (NPI 1629557012) is an individual oral and maxillofacial surgery provider in Boston, Massachusetts, licensed in Massachusetts (DN1859764) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629557012
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANDREW JACOB GROSSCredential: PHD, DMD
Location Address55 FRUIT ST., WANG AMBULATORY BLDG SUITE230Boston, MA 02114-2696
Mailing Address55 Fruit St Bldg Suite230Boston, MA 02114-2696 · (617) 726-2740
Phone(617) 726-2740
Sole ProprietorYes
Medical School CMSRoseman Univ Of Hlth Sciences, Col Of Dental MedGraduated 2018
Enumeration DateAugust 7, 2018
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1629557012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MA · DN1859764✔ Licensed in TN · 11022✔ Licensed in UT · 10858402-9925
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10858402-8903 (UT)
55 FRUIT ST., WANG AMBULATORY BLDG SUITE230, Boston, MA 02114
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Secondary Practice Locations 2

Location 11442 E Draper Pkwy Ste GDraper, UT 84020-9391 · Phone (509) 628-7174
Location 22130 N Charles G Seivers Blvd Ste 1Clinton, TN 37716-6705 · Phone (865) 622-4959

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Dr. Andrew Jacob Gross Phd, Dmd 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 ID3870821176
PECOS Enrollment IDI20240112003927
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.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Andrew Gross's NPI number?

The NPI number for Andrew Gross is 1629557012. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Andrew Gross located?

Andrew Gross practices at 55 Fruit St., Wang Ambulatory Bldg Suite230, Boston, MA 02114. The listed phone number is (617) 726-2740.

What is Andrew Gross's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Andrew Gross enrolled in Medicare?

Yes. Andrew 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.

What insurance does Andrew Gross accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Delta Dental PPO and 8 other insurers list Andrew 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 Andrew Gross affiliated with any hospitals?

According to CMS data, Andrew Gross is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Andrew Gross was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.