DR. ANDREW JACOB GROSS PHD, DMD
NPI 1629557012
Dentist - Oral and Maxillofacial Surgery in Boston, MA
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
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Accepted 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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Andrew Gross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Salt Lake City, UT 84108
- Reassigned Medicare billing, Utah enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, UTPhysician 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.
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.
Which organizations bill Medicare for Andrew Gross's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Gross reassigns Medicare benefits to 4 organizations: Massachusetts General Physicians Organization Inc (Boston, MA), The General Hospital Corporation (Boston, MA), University Of Utah Adult Services (Sandy, UT) and University Of Utah Dental Services (Salt Lake City, UT). 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 Andrew Gross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 4 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 22 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.
# Dr. Andrew Jacob Gross, PHD, DMD · NPI 1629557012
Oral and Maxillofacial Surgery provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since August 7, 2018.
## Identity
- **NPI:** 1629557012 (Entity type: Individual)
- **Enumerated:** August 7, 2018
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DN1859764 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 55 FRUIT ST., WANG AMBULATORY BLDG SUITE230, Boston, MA 02114-2696
- **Phone:** (617) 726-2740
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); University Of Utah Adult Services (NPI 1851904247, Sandy, UT); University Of Utah Dental Services (NPI 1821446279, Salt Lake City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Roseman Univ Of Hlth Sciences, Col Of Dental Med, class of 2018
## Record status
- **NPPES last updated:** December 10, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1629557012) · Data from the CMS NPPES public registry.