Active NPI 1205893229 Individual Practitioner Male Practitioner

Dr. Stephen B Gross , MD

Orthopaedic Surgery • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Gross, MD is a certified Orthopaedic Surgery practicing in Westerly, RI. With approximately 41 years of clinical experience since graduating from Geisel School Of Medicine At Dartmouth in 1985, Dr. Gross delivers high-quality medical care to the local community at 45 WELLS ST STE 204.

Dr. Gross is affiliated with University Orthopedics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of knee, 3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Wells St Ste 204

Westerly, RI 028912927

Telephone 4016377929

Associated Practice Facility / Clinic

🏢 University Orthopedics, Inc. Facility NPI 1275188955

Medicare Profile & Education

Medical School

Geisel School Of Medicine At Dartmouth

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +12.7 yrs vs City Avg

City Avg: 28.3 Yrs

State Avg: 23.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Westerly, RI (154 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gross (41 Years) 41 Yrs

Westerly Specialty Average (28.3 Years) 28.3 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
J1010 Injection, methylprednisolone acetate, 1 mg	12,847	110	$1.01	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	564	344	$226.00	$91.36
73562 X-ray of knee, 3 views	255	192	$141.80	$42.07
20610 Aspiration and/or injection of fluid from large joint	248	145	$300.00	$65.19
73502 X-ray of hip, 2-3 views	122	101	$176.00	$47.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$330.00	$112.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	67	$331.00	$126.18
73030 X-ray of shoulder, minimum of 2 views	54	48	$135.00	$35.44
J1040 Injection, methylprednisolone acetate, 80 mg	50	46	$15.00	$9.30
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	30	20	$357.00	$120.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	20	$715.00	$96.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$450.00	$167.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$137.00	$57.17
27447 Replacement of knee joint, both sides of knee	21	20	$6600.00	$1274.71
73610 X-ray of ankle, minimum of 3 views	20	16	$143.00	$37.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$430.00	$129.32
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6600.00	$1181.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	478	291	$226.22	$91.09
20610 Aspiration and/or injection of fluid from large joint	212	136	$252.70	$65.86
J1040 Injection, methylprednisolone acetate, 80 mg	209	130	$15.00	$11.66
73562 X-ray of knee, 3 views	207	164	$141.25	$42.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	82	$331.00	$130.26
73502 X-ray of hip, 2-3 views	91	76	$176.00	$48.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$330.00	$114.23
73030 X-ray of shoulder, minimum of 2 views	60	55	$135.00	$34.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$450.00	$164.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	27	$137.00	$57.12
73110 X-ray of wrist, minimum of 3 views	23	14	$133.00	$42.62
27447 Replacement of knee joint, both sides of knee	21	19	$6600.00	$1304.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$430.00	$126.21
73610 X-ray of ankle, minimum of 3 views	19	15	$143.00	$38.63
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$6600.00	$1305.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	386	256	$213.55	$94.05
73562 X-ray of knee, 3 views	192	148	$136.61	$43.96
20610 Aspiration and/or injection of fluid from large joint	187	130	$237.06	$67.88
J1040 Injection, methylprednisolone acetate, 80 mg	178	124	$15.00	$10.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	130	106	$129.38	$58.33
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	124	62	$7.00	$0.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$316.27	$116.25
73502 X-ray of hip, 2-3 views	81	73	$167.19	$49.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	52	$324.42	$132.02
73030 X-ray of shoulder, minimum of 2 views	51	47	$124.02	$36.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$397.54	$137.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$447.19	$172.20
27447 Replacement of knee joint, both sides of knee	17	17	$6600.00	$1339.04
73610 X-ray of ankle, minimum of 3 views	14	13	$136.86	$39.28
J1030 Injection, methylprednisolone acetate, 40 mg	11	11	$19.09	$6.10
20605 Aspiration and/or injection of medium joint or joint capsule	11	11	$229.00	$57.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7328 Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg	3,024	11	$2.69	$2.18
99213 Established patient office or other outpatient visit, typically 15 minutes	486	309	$172.17	$95.58
73562 X-ray of knee, 3 views	230	189	$96.00	$43.23
J1040 Injection, methylprednisolone acetate, 80 mg	178	131	$15.00	$10.51
20610 Aspiration and/or injection of fluid from large joint	166	123	$235.00	$67.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	129	129	$257.00	$118.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	113	92	$104.00	$59.42
73502 X-ray of hip, 2-3 views	91	83	$125.00	$49.00
73030 X-ray of shoulder, minimum of 2 views	65	63	$100.00	$36.14
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	36	30	$715.00	$105.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$256.00	$136.76
73630 X-ray of foot, minimum of 3 views	18	11	$99.00	$36.75
73610 X-ray of ankle, minimum of 3 views	16	13	$100.00	$39.31
73130 X-ray of hand, minimum of 3 views	13	12	$85.00	$38.97
27447 Replacement of knee joint, both sides of knee	13	13	$6600.00	$1370.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	449	277	$172.00	$79.43
J1040 Injection, methylprednisolone acetate, 80 mg	180	129	$15.00	$11.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	134	$104.43	$48.02
73562 X-ray of knee, 3 views	166	140	$96.58	$42.11
20610 Aspiration and/or injection of fluid from large joint	132	102	$235.00	$64.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$257.00	$113.10
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	64	55	$715.00	$101.50
73502 X-ray of hip, 2-3 views	61	51	$125.00	$48.34
73030 X-ray of shoulder, minimum of 2 views	53	48	$100.00	$34.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	29	$329.00	$145.88
73610 X-ray of ankle, minimum of 3 views	15	12	$100.00	$35.46
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$177.00	$75.94
27447 Replacement of knee joint, both sides of knee	13	12	$6600.00	$1470.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	652	360	$179.42	$76.70
20610 Aspiration and/or injection of fluid from large joint	277	154	$265.04	$62.44
J1040 Injection, methylprednisolone acetate, 80 mg	242	149	$13.77	$12.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	143	$105.36	$46.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$263.63	$112.50
73562 X-ray of knee, 3 views	36	34	$96.00	$38.98
73502 X-ray of hip, 2-3 views	29	27	$125.00	$44.84
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$177.00	$77.02
20605 Aspiration and/or injection of medium joint or joint capsule	17	12	$230.59	$51.41
73030 X-ray of shoulder, minimum of 2 views	15	14	$100.00	$31.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$329.31	$141.22
27447 Replacement of knee joint, both sides of knee	11	11	$6207.27	$1431.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	960	17	$26.00	$11.77
99213 Established patient office or other outpatient visit, typically 15 minutes	831	394	$182.00	$73.50
20610 Aspiration and/or injection of fluid from large joint	271	160	$282.23	$61.58
J1040 Injection, methylprednisolone acetate, 80 mg	222	152	$13.00	$12.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$272.00	$108.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	16	$110.00	$44.29
27447 Replacement of knee joint, both sides of knee	12	12	$6168.00	$1388.04
27245 Treatment of broken neck of thigh bone with bone implant	12	12	$3857.00	$1260.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	744	380	$114.84	$72.76
J1040 Injection, methylprednisolone acetate, 80 mg	194	140	$107.92	$10.83
20610 Aspiration and/or injection of fluid from large joint	185	131	$208.37	$60.11
73562 X-ray of knee, 3 views	64	61	$85.00	$35.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	46	$205.00	$135.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$206.27	$107.92
73030 X-ray of shoulder, minimum of 2 views	29	27	$90.00	$28.39
73502 X-ray of hip, 2-3 views	27	26	$125.00	$41.75
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	16	$265.00	$91.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$275.00	$162.59
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$125.00	$35.54

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License RI MD08611

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

University Orthopedics Inc

2 Dudley St, Providence, RI 029053248

Phone: 4014571500

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Brad Green , DO

Orthopaedic Surgery

NPI 1356440754

Doctor of Osteopathic Medicine (D.O.)

Matthew Willard , APRN

Nurse Practitioner - Acute Care

NPI 1821577594

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location October 18, 2019

Registered at 45 WELLS ST STE 204, WESTERLY, RI 028912927 (Tel: 4016377929)

📍

Updated Business Mailing Address October 18, 2019

Registered at PO BOX 1119, PROVIDENCE, RI 029011119

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2019

Orthopaedic Surgery (License #MD08611 in RI)

✅

NPI Profile Active July 06, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location July 06, 2009

Registered at 81 BEACH ST, WESTERLY, RI 028912769 (Tel: 4015969039)

📍

Updated Business Mailing Address July 06, 2009

Registered at 81 BEACH ST, WESTERLY, RI 028912769 (Tel: 4015969039)

👤

Provider Name / Credentials Updated July 06, 2009

Recorded as STEPHEN GROSS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2009

Orthopaedic Surgery (License #8611 in RI)

🟢

Initial NPI Registration & Enumeration April 26, 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: 1205893229

Entity Type:

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

Enumeration Date: April 26, 2006

Last Update: October 18, 2019

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 1119

Providence, RI 029011119

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

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