Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JONATHON LEE GROSS MD, MBA
NPI 1750840054
Family Medicine in Provo, UT

Active since March 16, 2019PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 205, PROVO, UT 84604(801) 357-1770 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2020, Apr 7, 2019, Mar 16, 2019 (3 updates tracked since 2019).

About Jonathon Lee Gross Md, Mba NPPES

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

JONATHON LEE GROSS MD, MBA (NPI 1750840054) is an individual family medicine provider in Provo, Utah, licensed in Pennsylvania (MD493634) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains a secondary practice location in Media.

NPPES Registry Identity

NPI1750840054
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHON LEE GROSSCredential: MD, MBA
Location Address395 W COUGAR BLVD STE 205Provo, UT 84604-3328
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-1770
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2019
Enumeration DateMarch 16, 2019
Last NPPES UpdateJuly 1, 20263 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1750840054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD493634 Licensed in UT · 11837381-1205
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

395 W COUGAR BLVD STE 205, Provo, UT 84604

Secondary Practice Location 1

Location 11068 W Baltimore PikeMedia, PA 19063-5104 · Phone (484) 227-4216

Accepted 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

Jonathon Lee Gross Md, Mba 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 ID5799101085
PECOS Enrollment IDI20221021001672
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 2

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 17

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

Nurse Practitioner (Family)
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Clinic/Center (Urgent Care)
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Physician Assistant
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604

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 Jonathon Gross's NPI number?

The NPI number for Jonathon Gross is 1750840054. It was assigned to this individual provider in the NPPES registry on March 16, 2019.

Where is Jonathon Gross located?

Jonathon Gross practices at 395 W Cougar Blvd Ste 205, Provo, UT 84604. The listed phone number is (801) 357-1770.

What is Jonathon Gross's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathon Gross enrolled in Medicare?

Yes. Jonathon 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 Jonathon Gross accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jonathon 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 Jonathon Gross affiliated with any hospitals?

According to CMS data, Jonathon Gross is affiliated with St Clare Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathon Gross was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.