2026 NPPES data Facial Plastic Surgery Physician NPI 1023082203 M.D.
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JAMES GROSS, M.D.

Facial Plastic Surgery Physician in MOUNT VERNON, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
389
Medicare Part D claims · 186 beneficiaries · Facial Plastic Surgery Physician avg: 428
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JAMES GROSS, M.D. is a Facial Plastic Surgery Physician ([object Object]) practicing in MOUNT VERNON, Washington with a Medicare Part D prescribing footprint of 389 claims across 186 beneficiaries — 6% brand-name prescribing .

What stands out: JAMES GROSS, M.D. filed 389 Medicare Part D claims in 2023 across MOUNT VERNON, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES GROSS, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JAMES GROSS, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/15/2006

NPI 1023082203

Primary specialty

Facial Plastic Surgery Physician

Niche

607 US NPIs in this specialty

Medicare Part D claims

389 9% vs specialty avg

2023 prescription claims

Specialty avg: 428

Specialty distribution in Washington

How Facial Plastic Surgery Physician compares to other specialties among Washington providers

Washington providers

Facial Plastic Surgery Physician share within Washington

1. Facial Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Facial Plastic Surgery Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Facial Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Facial Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Facial Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Facial Plastic Surgery Physician) — ABMS / AOA estimate

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).

JAMES GROSS, M.D. is a Facial Plastic Surgery Physician provider practicing in MOUNT VERNON, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1023082203. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES GROSS, M.D. appears in the CMS NPPES registry as a Facial Plastic Surgery Physician provider holding M.D. credentials at 118 S 12TH ST, MOUNT VERNON, WA, 98274, with a listed phone of (360) 336-2178. NPI 1023082203 was issued on 02/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GROSS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 389 prescription claims written by this provider, covering 186 Medicare beneficiaries and totaling roughly $15K in drug spend, split 6% brand-name and 94% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Facial Plastic Surgery Physician is a narrow specialty nationwide, with 607 enrolled providers across 47 states and an average of 428 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

118 S 12TH ST
MOUNT VERNON, WA 98274

Provider Details

NPI 1023082203
Specialty Facial Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 02/15/2006

Hospital and facility affiliations

Facilities where JAMES GROSS, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

PUBLIC HOSPITAL DIST NO 1 SKAGIT
MOUNT VERNON, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to JAMES GROSS, M.D.. To verify JAMES GROSS, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JAMES GROSS, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 389 2023 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 2023.

389
Total Claims
$15K
Total Drug Cost
186
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
481
Total Day Supply
10,249
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$4K
Generic Drug Cost
$10K
Antibiotic Claims
86

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.13
Gender Split
61% female / 39% male
Age Distribution
<65: 18, 65-74: 87, 75-84: 70, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Ipratropium Bromide
51
Prednisone
47
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
34
Azithromycin
33
Fluticasone Propionate
26
Azelastine Hcl
25
Mometasone Furoate
23
Epinephrine
14
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
13
Mupirocin
12

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

Facial Plastic Surgery Physician Overview

How JAMES GROSS, M.D. fits within the Facial Plastic Surgery Physician landscape nationally.

607
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
428
Avg Claims per Provider

JAMES GROSS, M.D.'s 389 claims are below the specialty average of 428.

Nearby Facial Plastic Surgery Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as GROSS.

Compare Facial Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES GROSS, M.D.'s specialty?
JAMES GROSS, M.D. specializes in Facial Plastic Surgery Physician and practices in MOUNT VERNON, Washington. Credentials: M.D..
How much does JAMES GROSS, M.D. prescribe under Medicare Part D?
In 2023, JAMES GROSS, M.D. wrote 389 Medicare Part D claims totaling $15K in drug costs for 186 beneficiaries.
Where is JAMES GROSS, M.D. located?
JAMES GROSS, M.D. is located at 118 S 12TH ST, MOUNT VERNON, WA, 98274. Phone: (360) 336-2178.
What is JAMES GROSS, M.D.'s NPI number?
JAMES GROSS, M.D.'s National Provider Identifier (NPI) is 1023082203, issued on 02/15/2006.
Does JAMES GROSS, M.D. prescribe more brand-name or generic drugs?
JAMES GROSS, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $4K in brand drug costs.
How many Facial Plastic Surgery Physician providers are there in the US?
There are 607 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 428 Medicare Part D claims per year.
What drugs does JAMES GROSS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES GROSS, M.D.'s most frequently prescribed drugs include Ipratropium Bromide, Prednisone, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GROSS, M.D. accept Medicare?
JAMES GROSS, M.D. appears in CMS Medicare data with 389 Part D claims and 186 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GROSS, M.D.'s credentials?
JAMES GROSS, M.D.'s NPI is 1023082203 with credentials M.D.. 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

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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 April 2026 (NPPES) / 2023 (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