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2026 NPPES data Hematology & Oncology Physician NPI 1013935667 MD
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Gerald Gross, MD

Hematology & Oncology Physician in Fargo, North Dakota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,530 in Hematology & Oncology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
410
Medicare Part D claims · 87 beneficiaries · Hematology & Oncology Physician avg: 885
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83/100
▼ 1 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Gerald Gross, MD reported a CMS MIPS final score of 83/100 - below the 83.5 national average - and filed 410 Medicare Part D claims in 2024.

83/100
MIPS score · -1 vs avg
410
Part D claims, 2024
70%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Gerald Gross, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1013935667), first enumerated 07/18/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 410 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 83/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1013935667 · Hematology & Oncology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1013935667
  • ENUM-LEGACY 2006
  • TAX-MID 12K Hematology &
  • MIPS-INLINE 83/100
  • RX-LIGHT 410
  • BOOK-THIN 30 in North Dakota
  • PHOTO-FINISH Michael Lyster · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Gerald Gross, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Gerald Gross, MD sits

This provider among hematology & oncology physician peers

Across the 4,019 hematology & oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gerald Gross, MD writes more Part D claims than 32% of them and scores higher on MIPS quality than 36% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Gerald Gross, MD, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 36
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hematology & oncology physician peer from a representative sample of 60; the gold marker is Gerald Gross, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Gerald Gross, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Gerald Gross, MD?

Near national average

NPI registry status

Active

Issued 07/18/2006

NPI 1013935667

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,530 US NPIs in this specialty

Medicare Part D claims

410 54% vs specialty avg

2024 prescription claims

Specialty avg: 885

MIPS final score

83/100 0.5 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in North Dakota

How Hematology & Oncology Physician compares to other specialties among North Dakota providers

North Dakota providers
Personal Care Attendant8.1%Case Manager/Care Coordinator6.4%Physical Therapist4.6%Speech-Language Pathologist4.5%Registered Nurse4.1%Social Worker3.9%Hematology & Oncology Physic…0.1%
Largest specialties in North Dakota (% of in-state providers)

Medicare quality performance, MIPS

Gerald Gross, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Near national average
MIPS Final Score
83/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%83%
MIPS final score (Hematology & Oncology Physician) - 83/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

820 4TH ST N
Fargo, ND 58102
(701) 234-6161

Provider Details

NPI 1013935667
Specialty Hematology & Oncology Physician
Credentials MD
Gender Male
NPI Issued 07/18/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.9973
Final Score
Measured-score avg: 83.5
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Above average

Gerald Gross, MD - brand share 30.0%
Hematology & Oncology Physician average

30% brand-name claims vs 70% generic, on 410 2024 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

410
Total Claims
$1.7M
Total Drug Cost
87
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
621.967
Total Day Supply
17,572
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$95K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
2.51
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Gerald Gross, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Valacyclovir
Valacyclovir Hcl
48
Hydroxyurea
 45
Eliquis
Apixaban
20
Brukinsa
Zanubrutinib
19
Imatinib Mesylate
 19
Imbruvica
Ibrutinib
19
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
19
Jakafi
Ruxolitinib Phosphate
18
Inrebic
Fedratinib Dihydrochloride
12
Zolpidem Tartrate
 11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Hematology & Oncology Physician in ND → All providers in North Dakota → Compare specialties →

Hematology & Oncology Physician Overview

How Gerald Gross, MD fits within the Hematology & Oncology Physician landscape nationally.

11,530
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
885
Avg Claims per Provider

Gerald Gross, MD's 410 claims are below the specialty average of 885.

Nationwide Hematology & Oncology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gross, both outside North Dakota so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (83 here).

Michael Lyster 83 AZ Shelby Terstriep 83 NC William Taylor 83 NC Carlos Araujo 83 NV

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Jigar Shah Clarksville, TN Jason Valent Strongsville, OH Gopala Ramineni Indiana, PA Carlos Araujo Las Vegas, NV

Nearby Hematology & Oncology Physician Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as Gross.

One of 30 Hematology & Oncology Physician providers enrolled in North Dakota, 5 are shown here.

Dr. Harish Ahuja
MD
Fargo, ND
Dr. Isaak Ailts
MD
Fargo, ND
Melissa Babcook
MD PHD
Fargo, ND
Dr. Ivan Bustillo Chams
MD
Grand Forks, ND
Dr. Todor Dentchev
MD
Grand Forks, ND

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Gerald Gross, MD's specialty? ▼
Gerald Gross, MD specializes in Hematology & Oncology Physician and practices in Fargo, North Dakota. Credentials: MD.
How much does Gerald Gross, MD prescribe under Medicare Part D? ▼
In 2024, Gerald Gross, MD wrote 410 Medicare Part D claims totaling $1.7M in drug costs for 87 beneficiaries.
What is Gerald Gross, MD's Medicare quality score? ▼
Gerald Gross, MD has a CMS MIPS Final Score of 83/100 (Quality: 87.1, Cost: 57.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gerald Gross, MD located? ▼
Gerald Gross, MD is located at 820 4TH ST N, Fargo, ND, 58102. Phone: (701) 234-6161.
What is Gerald Gross, MD's NPI number? ▼
Gerald Gross, MD's National Provider Identifier (NPI) is 1013935667, issued on 07/18/2006.
Does Gerald Gross, MD prescribe more brand-name or generic drugs? ▼
Gerald Gross, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $1.6M in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,530 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 885 Medicare Part D claims per year.
What drugs does Gerald Gross, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Gerald Gross, MD's most frequently prescribed drugs include Valacyclovir, Hydroxyurea, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gerald Gross, MD accept Medicare? ▼
Gerald Gross, MD appears in CMS Medicare data with 410 Part D claims and 87 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gerald Gross, MD's credentials? ▼
Gerald Gross, MD's NPI is 1013935667 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.