Active NPI 1245209550 Individual Practitioner Male Practitioner

Dr. John C Gross , MD

Ophthalmology • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Gross, MD is a certified Ophthalmology practicing in Ashland, KY. With approximately 36 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1990, Dr. Gross delivers high-quality medical care to the local community at 2841 LEXINGTON AVE.

Dr. Gross is affiliated with Tri-State Ophthalmology Associates Psc and accepts Medicare assignment.

Frequently performed procedures and clinical services include measurement of corneal curvature and depth of eye, removal of cataract with insertion of lens, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2841 Lexington Ave

Ashland, KY 411013009

Telephone 6063242451

Fax 6063247123

Associated Practice Facility / Clinic

🏢 Tri-State Ophthalmology Associates Psc Facility NPI 1245261833

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Ashland, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +9.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Ashland, KY (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gross (36 Years) 36 Yrs

Ashland Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	250	160	$153.00	$36.37
66984 Removal of cataract with insertion of lens	244	143	$2104.56	$449.49
92014 Established patient complete exam of visual system	139	133	$178.63	$113.79
99213 Established patient office or other outpatient visit, typically 15 minutes	123	78	$100.00	$84.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	82	$154.00	$118.59
92134 Imaging of retina	89	82	$88.00	$34.18
92004 New patient complete exam of visual system	78	78	$230.00	$137.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$234.00	$153.79
92133 Imaging of optic nerve	70	67	$88.00	$32.54
66821 Removal of recurring cataract in lens capsule using a laser	66	66	$701.52	$304.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$71.00	$52.00
92083 Exam of visual field with extended testing	29	29	$136.00	$56.89
92499 Service or surgery of the eye	23	23	$24.00	$12.13
92250 Photography of the retina	19	18	$129.00	$33.55
66982 Complex removal of cataract with insertion of prosthetic lens	16	11	$2100.00	$633.85
92012 Established patient problem focused exam of visual system	12	12	$120.00	$81.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	339	197	$2100.22	$442.44
92136 Measurement of corneal curvature and depth of eye	324	204	$153.00	$35.67
92004 New patient complete exam of visual system	136	136	$230.00	$134.70
92014 Established patient complete exam of visual system	135	132	$170.00	$115.15
99213 Established patient office or other outpatient visit, typically 15 minutes	133	80	$100.00	$83.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	77	$154.00	$118.74
66821 Removal of recurring cataract in lens capsule using a laser	70	69	$708.57	$306.25
92133 Imaging of optic nerve	67	64	$88.00	$32.21
92134 Imaging of retina	59	56	$88.00	$35.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$234.00	$155.11
92083 Exam of visual field with extended testing	34	34	$136.00	$55.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$71.00	$52.03
92250 Photography of the retina	25	23	$129.00	$33.62
92499 Service or surgery of the eye	17	16	$24.00	$10.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	400	231	$2102.56	$439.87
92136 Measurement of corneal curvature and depth of eye	387	250	$153.00	$38.65
92004 New patient complete exam of visual system	185	185	$230.00	$139.41
92014 Established patient complete exam of visual system	178	172	$170.00	$117.11
99213 Established patient office or other outpatient visit, typically 15 minutes	173	96	$100.00	$85.09
66821 Removal of recurring cataract in lens capsule using a laser	94	92	$726.60	$303.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	66	$154.00	$120.23
92133 Imaging of optic nerve	77	75	$88.00	$32.95
92134 Imaging of retina	59	56	$88.00	$36.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$234.00	$157.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	27	$71.00	$52.72
68841 Insertion of drug delivery implant into tear duct of eye	37	34	$65.00	$15.73
92083 Exam of visual field with extended testing	20	20	$136.00	$57.06
92250 Photography of the retina	14	13	$129.00	$34.24
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$2103.85	$601.63
76514 Ultrasound scan of cornea to determine thickness	11	11	$24.00	$9.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	354	213	$2102.26	$451.14
92136 Measurement of corneal curvature and depth of eye	294	246	$153.00	$45.06
92004 New patient complete exam of visual system	228	228	$230.00	$139.22
92014 Established patient complete exam of visual system	191	188	$170.00	$118.44
99213 Established patient office or other outpatient visit, typically 15 minutes	103	82	$100.00	$87.21
66821 Removal of recurring cataract in lens capsule using a laser	81	80	$634.57	$325.96
92133 Imaging of optic nerve	67	64	$88.00	$34.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	49	$71.00	$53.17
92134 Imaging of retina	40	40	$88.00	$36.48
92083 Exam of visual field with extended testing	29	27	$136.00	$57.80
92012 Established patient problem focused exam of visual system	17	17	$120.00	$83.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$154.00	$124.18
92250 Photography of the retina	14	13	$129.00	$36.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$234.00	$161.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	441	296	$153.00	$45.81
66984 Removal of cataract with insertion of lens	441	266	$2100.00	$451.02
92004 New patient complete exam of visual system	273	273	$230.00	$140.80
92014 Established patient complete exam of visual system	189	186	$170.00	$118.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	100	77	$71.00	$42.47
66821 Removal of recurring cataract in lens capsule using a laser	77	77	$550.00	$316.16
99213 Established patient office or other outpatient visit, typically 15 minutes	62	47	$100.00	$70.75
92133 Imaging of optic nerve	60	60	$88.00	$34.07
92134 Imaging of retina	44	40	$88.00	$37.43
92012 Established patient problem focused exam of visual system	41	40	$120.00	$81.35
92083 Exam of visual field with extended testing	30	28	$136.00	$57.55
92250 Photography of the retina	20	19	$129.00	$41.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	736	449	$2100.00	$524.50
92136 Measurement of corneal curvature and depth of eye	735	472	$153.00	$49.92
92004 New patient complete exam of visual system	431	431	$230.00	$140.31
92014 Established patient complete exam of visual system	283	279	$170.00	$117.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	121	$71.00	$41.76
92012 Established patient problem focused exam of visual system	141	139	$120.00	$81.62
66821 Removal of recurring cataract in lens capsule using a laser	116	114	$1194.40	$316.01
92133 Imaging of optic nerve	110	105	$88.00	$33.93
99213 Established patient office or other outpatient visit, typically 15 minutes	78	64	$100.00	$68.88
92134 Imaging of retina	67	64	$88.00	$36.85
92083 Exam of visual field with extended testing	53	52	$136.00	$57.71
92250 Photography of the retina	44	44	$129.00	$46.04
66982 Complex removal of cataract with insertion of prosthetic lens	20	15	$2100.00	$658.82
76514 Ultrasound scan of cornea to determine thickness	17	17	$24.00	$11.11
92002 New patient problem focused exam of visual system	16	16	$137.00	$78.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$180.00	$101.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	708	453	$2100.00	$535.07
92136 Measurement of corneal curvature and depth of eye	678	464	$153.00	$55.51
92004 New patient complete exam of visual system	336	336	$230.00	$141.11
92014 Established patient complete exam of visual system	271	270	$170.00	$116.01
92012 Established patient problem focused exam of visual system	179	174	$120.00	$80.94
99213 Established patient office or other outpatient visit, typically 15 minutes	150	100	$100.00	$68.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	88	$71.00	$40.74
92133 Imaging of optic nerve	108	105	$88.00	$33.51
66821 Removal of recurring cataract in lens capsule using a laser	100	99	$1200.00	$303.32
76519 Ultrasound of eye for determination of lens power	51	37	$163.00	$56.13
92134 Imaging of retina	48	46	$88.00	$36.93
92250 Photography of the retina	44	43	$129.00	$50.09
92083 Exam of visual field with extended testing	42	42	$136.00	$55.70
92002 New patient problem focused exam of visual system	34	34	$137.00	$77.60
66821 Removal of recurring cataract in lens capsule using a laser	27	27	$1200.00	$297.35
66982 Complex removal of cataract with insertion of prosthetic lens	26	23	$2100.00	$654.25
76514 Ultrasound scan of cornea to determine thickness	11	11	$24.00	$13.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$180.00	$100.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	875	507	$1884.51	$474.00
92136 Measurement of corneal curvature and depth of eye	698	476	$153.00	$61.38
92004 New patient complete exam of visual system	369	369	$230.00	$136.98
92014 Established patient complete exam of visual system	236	234	$170.00	$114.41
99213 Established patient office or other outpatient visit, typically 15 minutes	230	147	$100.00	$67.66
92012 Established patient problem focused exam of visual system	144	136	$120.00	$77.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	94	$71.00	$40.00
92133 Imaging of optic nerve	104	102	$88.00	$33.63
66821 Removal of recurring cataract in lens capsule using a laser	100	98	$1200.00	$312.30
76519 Ultrasound of eye for determination of lens power	55	43	$163.00	$62.49
92083 Exam of visual field with extended testing	54	54	$136.00	$58.53
92134 Imaging of retina	50	44	$88.00	$37.03
92250 Photography of the retina	47	45	$129.00	$57.31
66982 Complex removal of cataract with insertion of prosthetic lens	37	31	$2100.00	$638.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$234.00	$153.90
76514 Ultrasound scan of cornea to determine thickness	19	19	$24.00	$13.37
92002 New patient problem focused exam of visual system	12	12	$137.00	$71.97

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 28089

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0160061 (OH)

Medicaid State Provider ID

64280894 (KY)

Commercial Insurance / Payer ID Medicare Railroad

180021151 (KY)

Hospital & Practice Group Affiliations

Tri-State Ophthalmology Associates Psc

405 S 3rd St, Ironton, OH 456381730

Phone: 7404427959

Tri-State Ophthalmology Associates Psc

2201 Lexington Ave, Ashland, KY 411012843

Phone: 6064084000

Tri-State Ophthalmology Associates Psc

1534 11th St, Portsmouth, OH 456624524

Phone: 7403551161

Tri-State Ophthalmology Associates Psc

2841 Lexington Ave, Ashland, KY 411013009

Phone: 6063242451

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Kimberly Epling , OD

Optometrist

NPI 1073616355

Doctor of Optometry

Dr. Joshua Gross , MD

Ophthalmology

NPI 1144649914

Doctor of Medicine (M.D.)

Dr. Carter Gussler , MD

Ophthalmology

NPI 1215905393

Doctor of Medicine (M.D.)

Dr. Cody Williams , DO

Ophthalmology

NPI 1376003145

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 07, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2014

Registered at 2841 LEXINGTON AVE, ASHLAND, KY 411013009 (Tel: 6063242451)

📍

Updated Business Mailing Address January 07, 2014

Registered at 2841 LEXINGTON AVE, ASHLAND, KY 411013009 (Tel: 6063242451)

👤

Provider Name / Credentials Updated January 07, 2014

Recorded as JOHN GROSS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2014

Ophthalmology (License #28089 in KY)

🟢

Initial NPI Registration & Enumeration March 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245209550

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 17, 2006

Last Update: January 07, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2841 Lexington Ave

Ashland, KY 411013009

Phone: 6063242451

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.