MICHAEL ROBERT GROSSMAN DO
NPI 1710929708
Emergency Medicine in Corry, PA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
965 SHAMROCK LN, CORRY, PA 16407(814) 664-4641(814) 664-8799 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Robert Grossman Do NPPES

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

MICHAEL ROBERT GROSSMAN DO (NPI 1710929708) is an individual emergency medicine provider in Corry, Pennsylvania, licensed in Pennsylvania (OS010419L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chan Soon- Shiong Medical Center At Windber, and maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1710929708
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ROBERT GROSSMANCredential: DO
Location Address965 SHAMROCK LNCorry, PA 16407-1196
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2507 · Fax (814) 868-2522
Fax(814) 664-8799
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1990
Enumeration DateJune 12, 2006
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1710929708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OS010419L✔ Licensed in GA · 051467
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
965 SHAMROCK LN, Corry, PA 16407

Secondary Practice Location 1

Location 11050 McDonough RdJackson, GA 30233-1524 · Phone (770) 775-7861

Other Identifiers 1

Medicaid204624381CGA

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

Michael Robert Grossman Do 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 ID1153387774
PECOS Enrollment IDI20130304000117
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

9

Medicare enrollment records show Michael Grossman reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
965 SHAMROCK LN
Corry, PA 16407
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
Critical Access
290 HAIDA AVENUE
Hastings, PA 16646
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 56 clinicians in this Medicare group
Emergency Medicine
600 SOMERSET AVE
Windber, PA 15963
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 53 clinicians in this Medicare group
Pediatrics
105 HILLCREST DR
Roaring Spring, PA 16673
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 112 clinicians in this Medicare group
Family Medicine
202 BEACHLEY ST
Meyersdale, PA 15552
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 56 clinicians in this Medicare group
Emergency Medicine
301 PROSPECT AVE
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Emergency Care Services Of New York PC
  • 240 clinicians in this Medicare group
Emergency Medicine
241 NORTH RD
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 356 clinicians in this Medicare group
Rural
102 HOSPITAL CIRCLE
Donalsonville, GA 39845
  • Reassigned Medicare billing, Georgia enrollment
  • 101 clinicians in this Medicare group
General Acute Care Hospital
JUNCTION OF HWY 371, NAVAJO RT9
Crownpoint, NM 87313
  • Reassigned Medicare billing, Texas enrollment
  • 265 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.

Areas of Expertise CMS Part B claims

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390112
Location600 Somerset AvenueWindber, PA 15963 · Somerset County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16407 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

Physical Therapist
965 SHAMROCK LN
CORRY, PA 16407
Nurse Practitioner (Family)
965 SHAMROCK LN
CORRY, PA 16407
Emergency Medicine
965 SHAMROCK LN
CORRY, PA 16407
Internal Medicine
965 SHAMROCK LN
CORRY, PA 16407
Pharmacist
965 SHAMROCK LN
CORRY, PA 16407
General Acute Care Hospital (Critical Access)
965 SHAMROCK LN
CORRY, PA 16407
Ambulance
965 SHAMROCK LN
CORRY, PA 16407
Nurse Practitioner (Family)
965 SHAMROCK LN
CORRY, PA 16407

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 Michael Grossman's NPI number?

The NPI number for Michael Grossman is 1710929708. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Michael Grossman located?

Michael Grossman practices at 965 Shamrock Ln, Corry, PA 16407. The listed phone number is (814) 664-4641.

What is Michael Grossman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Grossman enrolled in Medicare?

Yes. Michael Grossman 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 Michael Grossman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Grossman reassigns Medicare benefits to 9 organizations: Corry Memorial Hospital Association (Corry, PA), Dlp Conemaugh Miners Medical Center LLC (Hastings, PA), Windber Hospital, Inc. (Windber, PA), Nason Physician Practices LLC (Roaring Spring, PA), Dlp Conemaugh Meyersdale Medical Center LLC (Meyersdale, PA) and 4 more organizations, listed in the Medicare section above. 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 Michael Grossman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Grossman affiliated with any hospitals?

According to CMS data, Michael Grossman is affiliated with Chan Soon- Shiong Medical Center At Windber.

When was this NPI record last updated?

The NPPES record for Michael Grossman was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.