JAMES THOMAS GROSS MD
NPI 1952970303
Urology in Danville, IN

Active since June 21, 2021PECOS Enrolled
100 HOSPITAL LN STE 145, DANVILLE, IN 46122(317) 799-0192(317) 386-5633 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2026, Aug 20, 2026, Jun 21, 2021 (3 updates tracked since 2021).

About James Thomas Gross Md NPPES

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

JAMES THOMAS GROSS MD (NPI 1952970303) is an individual urology provider in Danville, Indiana, licensed in Indiana (01099891A) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2021).

NPPES Registry Identity

NPI1952970303
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJAMES THOMAS GROSSCredential: MD
Location Address100 HOSPITAL LN STE 145Danville, IN 46122-2000
Mailing Address1000 E Main StDanville, IN 46122-1948 · (317) 837-5566 · Fax (317) 718-6793
Fax(317) 386-5633
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateSeptember 9, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1952970303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IN · 01099891A
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
100 HOSPITAL LN STE 145, Danville, IN 46122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Thomas Gross Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345635231
PECOS Enrollment IDI20260721000566
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 Reassignment

Medicare enrollment records show James Gross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urogynecology and Reconstructive Pelvic Surgery
100 HOSPITAL LANE SUITE 145
Danville, IN 46122
  • Reassigned Medicare billing, Indiana enrollment
  • 401 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46122 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
100 HOSPITAL LN STE 145
DANVILLE, IN 46122
Internal Medicine (Nephrology)
100 HOSPITAL LN STE 145
DANVILLE, IN 46122
Physician Assistant
100 HOSPITAL LN STE 145
DANVILLE, IN 46122
Urology
100 HOSPITAL LN STE 145
DANVILLE, IN 46122

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 James Gross's NPI number?

The NPI number for James Gross is 1952970303. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is James Gross located?

James Gross practices at 100 Hospital Ln Ste 145, Danville, IN 46122. The listed phone number is (317) 799-0192.

What is James Gross's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James Gross enrolled in Medicare?

Yes. James Gross is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Gross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Gross reassigns Medicare benefits to Hendricks County Hospital (Danville, IN). The 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 James Gross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Gross accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list James 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.

When was this NPI record last updated?

The NPPES record for James Gross was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.