2026 NPPES data Ophthalmology Physician NPI 1710995543 M.D.
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JOHN GROSS, M.D.

Ophthalmology Physician in MT PLEASANT, South Carolina. 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
698
Medicare Part D claims · 135 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
98.9463/100
▲ 16 pts above national avg 83.1 · [object Object]
Industry payments
$606.18
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN GROSS, M.D. reported a CMS MIPS final score of 98.9463/100 — above the 83.1 national average — and filed 698 Medicare Part D claims in 2023.

98.9463/100
MIPS score · +16 vs avg
698
Part D claims, 2023
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.

JOHN GROSS, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

99 Top 11% higher than 89% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Board certification likely (heuristic — not verified)

JOHN GROSS, M.D. 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 JOHN GROSS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/04/2006

NPI 1710995543

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

698 51% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

98.9463/100 15.8463% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Carolina

How Ophthalmology Physician compares to other specialties among South Carolina providers

South Carolina providers

Ophthalmology Physician share within South Carolina

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within South Carolina

Medicare quality performance — MIPS

JOHN GROSS, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
98.9463/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 98.9463/100 vs national avg 83.1

0%100%National avg83%98.9%
MIPS final score (Ophthalmology Physician) — 98.9463/100 vs national avg 83.1

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).

JOHN GROSS, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 613 LONG POINT RD, MT PLEASANT, SC, 29464, with a listed phone of (843) 724-3456. NPI 1710995543 was issued on 08/04/2006. 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 698 prescription claims written by this provider, covering 135 Medicare beneficiaries and totaling roughly $86K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.9463/100 for the 2023 performance year (Quality 97.8927), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

613 LONG POINT RD
MT PLEASANT, SC 29464

Provider Details

NPI 1710995543
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/04/2006

CMS Quality Score (MIPS)

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

98.9463
Final Score
Avg: 83.1
97.8927
Quality

Reporting: Individual

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOHN GROSS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$606

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

698
Total Claims
$86K
Total Drug Cost
135
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
987
Total Day Supply
26,334
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.26
Gender Split
68% female / 32% male
Age Distribution
<65: 11, 65-74: 46, 75-84: 51, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

What JOHN GROSS, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Latanoprost
138
Brimonidine Tartrate
102
Ketorolac Tromethamine
97
Alphagan P
Brimonidine Tartrate
68
Prednisolone Acetate
50
Timolol Maleate
46
Lumigan
Bimatoprost
26
Prolensa
Bromfenac Sodium
26
Dorzolamide Hcl
25
Moxifloxacin
Moxifloxacin Hcl
24

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

Ophthalmology Physician Overview

How JOHN GROSS, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JOHN GROSS, M.D.'s 698 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in South Carolina

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN GROSS, M.D.'s specialty?
JOHN GROSS, M.D. specializes in Ophthalmology Physician and practices in MT PLEASANT, South Carolina. Credentials: M.D..
How much does JOHN GROSS, M.D. prescribe under Medicare Part D?
In 2023, JOHN GROSS, M.D. wrote 698 Medicare Part D claims totaling $86K in drug costs for 135 beneficiaries.
What is JOHN GROSS, M.D.'s Medicare quality score?
JOHN GROSS, M.D. has a CMS MIPS Final Score of 98.9463/100 (Quality: 97.8927). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN GROSS, M.D. located?
JOHN GROSS, M.D. is located at 613 LONG POINT RD, MT PLEASANT, SC, 29464. Phone: (843) 724-3456.
What is JOHN GROSS, M.D.'s NPI number?
JOHN GROSS, M.D.'s National Provider Identifier (NPI) is 1710995543, issued on 08/04/2006.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JOHN GROSS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN GROSS, M.D.'s most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Ketorolac Tromethamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GROSS, M.D. accept Medicare?
JOHN GROSS, M.D. appears in CMS Medicare data with 698 Part D claims and 135 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GROSS, M.D.'s credentials?
JOHN GROSS, M.D.'s NPI is 1710995543 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.
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 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