NPI registry status
Active
2026 NPPES data Forensic Psychiatry Physician NPI 1598871097 M.D.
Verify on CMS → Paul Gross, M.D.
Forensic Psychiatry Physician in Allentown, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 841 in Forensic Psychiatry 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
5K
Medicare Part D claims · 425 beneficiaries · Forensic Psychiatry Physician avg: 869
MIPS score
13.3/100
▼ 70 pts below national avg 83.1 · Penalty band
Industry payments
$49.62
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Paul Gross, M.D. reported a CMS MIPS final score of 13.3/100 - below the 83.1 national average - and filed 5,032 Medicare Part D claims in 2023.
- 13.3/100
- MIPS score · -70 vs avg
- 5K
- 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.
Paul 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
13 2nd percentile higher than 2% of 477,587 scored providers
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
Where Paul Gross, M.D. sits
This provider among forensic psychiatry physician peers
Across the 55 forensic psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Gross, M.D. writes more Part D claims than 87% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one forensic psychiatry physician peer from a representative sample of 54; the gold marker is Paul Gross, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Paul Gross, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Paul Gross, M.D.?
Below national averagePrimary specialty
Forensic Psychiatry Physician
Medicare Part D claims
5,032 6× vs specialty avg
MIPS final score
13.3/100 69.8 pts vs avg
Specialty distribution in Pennsylvania
How Forensic Psychiatry Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Paul Gross, M.D.'s 2023 MIPS final score plotted against the Forensic Psychiatry Physician national average
- MIPS Final Score
- 13.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Forensic Psychiatry Physician) - 13.3/100 vs national avg 83.1
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).
Paul Gross, M.D. appears in the CMS NPPES registry as a Forensic Psychiatry Physician provider holding M.D. credentials at 1245 SOUTH CEDAR CREST BLVD., Allentown, PA, 18103, with a listed phone of (610) 820-3900. NPI 1598871097 was issued on 08/21/2006.
Medicare Part D records for calendar year 2023 show 5,032 prescription claims written by this provider, covering 425 Medicare beneficiaries and totaling roughly $314K in drug spend, with an opioid prescribing rate of 0.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 13.3/100 for the 2023 performance year (Quality 26.7), compared with the national average of 83.1.
Forensic Psychiatry Physician is a narrow specialty nationwide, with 841 enrolled providers across 47 states and an average of 869 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
Provider Details
| NPI | 1598871097 |
|---|---|
| Specialty | Forensic Psychiatry Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/21/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
13.3333
Final Score
Avg: 83.1
26.6667
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Paul 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.
Allentown Associates IN Psychiatry
Allentown, PA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Paul Gross, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$50
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.
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Paul Gross, M.D.. To verify Paul Gross, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
5,032
Total Claims
$314K
Total Drug Cost
425
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,561
- Total Day Supply
- 255,010
- Generic Drug Cost
- $158K
- Opioid Claims
- 13 (0.3% rate)
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 1.48
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 84, 65-74: 203, 75-84: 114, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Gross, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lorazepam
Lorazepam
331 claims
- Alprazolam
Alprazolam
308 claims
- Clonazepam
Clonazepam
280 claims
- Trazodone Hcl
Trazodone Hcl
251 claims
- Venlafaxine Hcl Er
Venlafaxine Hcl Er
239 claims
- Quetiapine Fumarate
Quetiapine Fumarate
202 claims
- Lamotrigine
Lamotrigine
188 claims
- Sertraline Hcl
Sertraline Hcl
180 claims
| Drug | Claims |
|---|---|
| Lorazepam | 331 |
| Alprazolam | 308 |
| Clonazepam | 280 |
| Trazodone Hcl | 251 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 239 |
| Quetiapine Fumarate | 202 |
| Lamotrigine | 188 |
| Sertraline Hcl | 180 |
| Duloxetine Hcl | 170 |
| Aripiprazole | 159 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Forensic Psychiatry Physician Overview
How Paul Gross, M.D. fits within the Forensic Psychiatry Physician landscape nationally.
841
Forensic Psychiatry Physician Providers in US
47
States with Forensic Psychiatry Physician
869
Avg Claims per Provider
Paul Gross, M.D.'s 5,032 claims are above the specialty average of 869.
Nearby Forensic Psychiatry Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Gross.
Dr. Babatunde Adetunji
MD
Philadelphia, PA
Dr. Alexander Avenirov
M.D.
Norristown, PA
Dr. Rocio Badra
M.D.
Norristown, PA
Dr. Barbara Beadles
M.D.
Pittsburgh, PA
Dr. Alexis Beattie
M.D.
Philadelphia, PA
Compare Forensic Psychiatry Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Forensic Psychiatry Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Paul Gross, M.D.'s specialty? ▼
Paul Gross, M.D. specializes in Forensic Psychiatry Physician and practices in Allentown, Pennsylvania. Credentials: M.D..
How much does Paul Gross, M.D. prescribe under Medicare Part D? ▼
In 2023, Paul Gross, M.D. wrote 5,032 Medicare Part D claims totaling $314K in drug costs for 425 beneficiaries.
What is Paul Gross, M.D.'s Medicare quality score? ▼
Paul Gross, M.D. has a CMS MIPS Final Score of 13.3/100 (Quality: 26.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Gross, M.D. located? ▼
Paul Gross, M.D. is located at 1245 SOUTH CEDAR CREST BLVD., Allentown, PA, 18103. Phone: (610) 820-3900.
What is Paul Gross, M.D.'s NPI number? ▼
Paul Gross, M.D.'s National Provider Identifier (NPI) is 1598871097, issued on 08/21/2006.
Does Paul Gross, M.D. prescribe opioids? ▼
Yes, Paul Gross, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Forensic Psychiatry Physician providers are there in the US? ▼
There are 841 Forensic Psychiatry Physician providers across 47 states in the US. The average Forensic Psychiatry Physician provider writes 869 Medicare Part D claims per year.
What drugs does Paul Gross, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Gross, M.D.'s most frequently prescribed drugs include Lorazepam, Alprazolam, Clonazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Gross, M.D. accept Medicare? ▼
Paul Gross, M.D. appears in CMS Medicare data with 5,032 Part D claims and 425 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Gross, M.D.'s credentials? ▼
Paul Gross, M.D.'s NPI is 1598871097 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.