DR. MARISA E. GROSS (M.D.) – Family Medicine Physician, NPI 1376807503
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for DR. MARISA E. GROSS (M.D.)
4111 194th St SW
Lynnwood, WA 980364604
Phone: (425) 835-5209
Type: Location
2591 S Leaton Rd
Mount Pleasant, MI 488588421
Phone: (899) 775-4600
Type: Location
2591 S LEATON RD
MOUNT PLEASANT, MI 488588421
Phone: (899) 775-4600
Type: Mailing
4111 194TH ST SW
LYNNWOOD, WA 980364604
Phone: (425) 835-5209
Type: Location
17500 SE 392ND ST
AUBURN, WA 980929705
Phone: (253) 294-8201
Fax: (253) 333-3612
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Indivior Inc. ($45).
Total Amount
$65
General + Research + Ownership
Payments
3
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Indivior Inc. | $45 |
| Alkermes, Inc. | $20 |
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: 2025-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210921001795 | I | Family Practice | WA | TBD |
| I20251218000096 | I | Family Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98036)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Internal Medicine | WA | |
| - | VA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| Plastic And Reconstructive Surgery, Otolaryngology | WA | |
| Osteopathic Manipulative Medicine, Family Practice | WA |
Reviews
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