Dr. Mel Keith Gross , AuD
Audiologist • Fairfield, OH
1251 Nilles Rd, Ste 7
Fairfield, OH 450147206
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
NPI assigned on August 10, 2005; this date does not establish years in practice.
-
Published CMS data list 146 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
-
Published Part B service records, 2020:
- 92557 — Comprehensive hearing and speech recognition test: 52 service units.
- 92550 — Test for eardrum and muscle function: 49 service units.
- 92537 — Test to assess balance during warm and cool irrigation in both ears: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See all 5 records in the table · Guide: How to read Medicare Part B data
-
Medicare Part B services went from 226 in 2017 to 146 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2020.
Practice Location & Contact Primary Location
1251 Nilles Rd
Ste 7
Fairfield, OH 450147206
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2004
What Public CMS Data Show
Audiologist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $5,331 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
Paid by Medicare
About $4,099 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
Years since graduation
22 years (graduated 2004)
CMS Doctors and Clinicians data list 2004 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Gross has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fairfield and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Gross are from 2020.
5 active clinicians are listed under Audiologist with a practice address in Fairfield, OH (967 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 35% from 226 in 2017 to 146 in 2020.
- 2017: 226
- 2018: 224
- 2019: 289
- 2020: 146
-
Medicare-allowed amount
Medicare-allowed amount decreased 27% from $7,341 in 2017 to $5,331 in 2020.
- 2017: $7,341
- 2018: $7,459
- 2019: $9,871
- 2020: $5,331
-
Paid by Medicare
Paid by Medicare decreased 28% from $5,673 in 2017 to $4,099 in 2020.
- 2017: $5,673
- 2018: $5,319
- 2019: $7,085
- 2020: $4,099
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
92557
Comprehensive hearing and speech recognition test
|
52 | 50 | $76.46 | $37.50 |
|
92550
Test for eardrum and muscle function
|
49 | 47 | $47.12 | $21.88 |
|
92537
Test to assess balance during warm and cool irrigation in both ears
|
15 | 15 | $116.33 | $40.86 |
|
92540
Evaluation and testing for balance with recording
|
15 | 15 | $267.80 | $105.17 |
|
92547
Use of electrodes during balance testing
|
15 | 15 | $28.87 | $7.92 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 231H00000X
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - QUALIFIED AUDIOLOGIST
I20091008000477
OH
3375576861
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist - General Practice
Doctor of Dental Surgery
Dentist
Doctor of Dental Surgery
Social Worker - Clinical
Licensed Independent Social Worker
Dentist - General Practice
Doctor of Dental Surgery
Social Worker - Clinical
LISWS, Licensed Clinical Social Worker
Social Worker - Clinical
LISWS
Career & Practice History
NPI enumerated August 10, 2005.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Audiologists in Fairfield
Healthcare providers in FairfieldMailing Address
1251 Nilles Rd, Ste 7
Fairfield, OH 450147206
Phone: 5138297111