MR. PAUL K GROSS (M.D.) – Psychiatry Physician, NPI 1598871097
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 PSYCHIATRY in PA
Provider Addresses for MR. PAUL K GROSS (M.D.)
1245 SOUTH CEDAR CREST BLVD.
SUITE 303
ALLENTOWN, PA 18103
Phone: (610) 820-3900
Fax: (610) 820-8647
Type: Location
401, North 17th Street, West End, Allentown, Lehigh County, Pennsylvania, 18104, United States
SUITE 304
ALLENTOWN, PA 181045014
Phone: (610) 820-3900
Fax: (610) 820-3835
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: ABBVIE INC. ($108).
Total Amount
$153
General + Research + Ownership
Payments
9
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $108 |
| ITI, Inc. | $16 |
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $15 |
| Takeda Pharmaceuticals U.S.A., Inc. | $14 |
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: 2005-03-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050316000220 | I | Psychiatry | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 970 | 233 | $0 |
| 90868 | Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management | 962 | 27 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 269 | 15 | $0 |
| 90870 | Therapy using electrical currents | 119 | 12 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 27 | 16 | $0 |
Insurance plans in this area (ZIP 18103)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | PA | 90792 | Psychiatric diagnostic evaluation with medical services | 73 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| Physician Assistant | PA | |
| - | PA |
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