What is Seth Gross's specialty?

Seth Gross (NPI 1154304111) is a Medicare-billing provider whose primary specialty is Gastroenterology in New York, NY.

Where does Seth Gross practice?

Seth Gross practices in New York, NY, based on the location reported in the CMS Medicare provider datasets for NPI 1154304111.

How much does Medicare pay Seth Gross?

Seth Gross (NPI 1154304111) received approximately $130K in total Medicare Part B payments, serving 575 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1154304111

Seth GrossM.D.

GastroenterologyNew York, NYI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

918

Unique beneficiaries

—

Total services

1,005

Distinct HCPCS

Medicare payment

$114K

Peer benchmark

Total Medicare services vs. 1,360 Gastroenterology providers in NY — top quintile (cohort median 521).

PRESCRIBING · PART D · 2024

Total Rx claims

Beneficiaries

—

Total drug cost

$1K

Distinct drugs

Brand share

0.0%

Top prescribed drugs

Omeprazole33 claims

Esomeprazole Magnesium31 claims

QUALITY · MIPS · 2024

Final MIPS score

90.8

Quality

91.8

Cost

75.2

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.66%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$99K

Payment records

By payment type

Consulting Fee$49K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$30K

Travel and Lodging$17K

Food and Beverage$3K

Top paying entities

Consulting Fee$49K

Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$30K

Travel and Lodging$17K

Food and Beverage$3K

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 330214

Hospital

REFERRAL NETWORK

Where Seth Gross's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 5 inbound referrers · 11 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Cristina Hajdu Pathology · New York, NY	21	49
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	20	37
NYU LANGONE HOSPITALS	17	57
Bioreference Health, Llc Clinical Laboratory · Elmwood Park, NJ	15	73
Charles Love Clinical Cardiac Electrophysiology · Baltimore, MD	15	27

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
NYU LANGONE HOSPITALS	111	298
Ian Zolnowski Anesthesiology · New York, NY	29	66
Quest Diagnostics Incorporated Clinical Laboratory · Clifton, NJ	24	58
Shawn Cafferata Anesthesiology · New York, NY	23	51
Antonio Galvao Neto Pathology · Houston, TX	18	47
NPI 1912993221	15	28
NYU LANGONE HOSPITALS	15	63
Charles Love Clinical Cardiac Electrophysiology · Baltimore, MD	14	32
Seniorcare Emergency Medical Services Inc. Ambulance Service Provider · Bronx, NY	13	38
Derek Mason Diagnostic Radiology · New York, NY	11	30
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	11	25

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events