DR. PAUL J GRUBER (M.D.) – Dermatology Physician, NPI 1134547656

DR. PAUL J GRUBER (M.D.) is a healthcare provider. based in Saint peters, Missouri. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. 35.133142 (OH). The NPI Number for DR. PAUL J GRUBER (M.D.) is 1134547656

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAUL J GRUBER (M.D.)
NPI
1134547656
Phone
(636) 277-0371
Address
5700 MEXICO RD STE 14
Enumeration Date
1 April 2014
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
6362770371
Graduation Year
2014 (12 years ago)
PAC ID
6507168937
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20190822001101
Address ID
MO633761667SA5700XRDXX302

Contacts

Secure Messaging
Jessica.Grandlich@forefrontdermatology.emadirect.md
Secure Messaging
Paul.Gruber@forefrontdermatology.emadirect.md
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

337 DERMATOLOGY in MO

Provider Addresses for DR. PAUL J GRUBER (M.D.)

  • 5700 MEXICO RD STE 14

    SAINT PETERS, MO 633761667

    Phone: (636) 277-0371

    Fax: (636) 447-4161

    Type: Location

  • 12855 N 40 Dr Ste 180

    Saint Louis, MO 631418657

    Phone: (314) 878-5599

    Fax: (314) 392-4290

    Type: Location

  • 8567 Watson Rd Ste A

    Webster Groves, MO 631195251

    Phone: (314) 528-9040

    Fax: (314) 528-9041

    Type: Location

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,163.

Total Amount is formed as General ($1,163) + Research ($0) + Ownership ($0) = $1,163.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($299).

Total Amount

$1,163

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190822001101IMicrographic Dermatologic Surgery (Mds)MOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks568467$0
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks290183$0
99213Established patient office or other outpatient visit, 20-29 minutes190110$0
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm105102$0
99214Established patient office or other outpatient visit, 30-39 minutes10499$0
View full utilization report →

Insurance plans in this area (ZIP 63376)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Can I verify DR. PAUL J GRUBER (M.D.) with an NPI only?
You can start verification with NPI 1134547656 for DR. PAUL J GRUBER (M.D.), then check state licensing separately.
Is DR. PAUL J GRUBER (M.D.) listed as active for patients and plans?
The listing shows DR. PAUL J GRUBER (M.D.) as active in the NPI system.
What is DR. PAUL J GRUBER (M.D.)'s primary classification?
Dermatology Physician is the headline specialty for DR. PAUL J GRUBER (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. PAUL J GRUBER (M.D.)?
DR. PAUL J GRUBER (M.D.)'s geographic hint is Saint Peters, Missouri in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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