HEATHER E ROSS MD
NPI 1033614938
Family Medicine in Boston, MA

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment
11 MELNEA CASS BLVD, BOSTON, MA 02119(617) 414-2080(617) 414-2090 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2023, Aug 23, 2021, Mar 24, 2018 (3 updates tracked since 2018).

About Heather E Ross Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER E ROSS MD (NPI 1033614938) is an individual family medicine provider in Boston, Massachusetts, licensed in Massachusetts (287137) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (2018).

NPPES Registry Identity

NPI1033614938
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHEATHER E ROSSCredential: MD
Location Address11 MELNEA CASS BLVDBoston, MA 02119
Mailing Address960 Massachusetts Avenue, Fl 2Boston, MA 02118-2690
Fax(617) 414-2090
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJune 9, 20233 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
NPI 1033614938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MA · 287137
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11 MELNEA CASS BLVD, Boston, MA 02119

Other Identifiers 2

Medicaid110135270AMA
Medicaid3131030NH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Heather E Ross Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436408911
PECOS Enrollment IDI20210826003525
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
19 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boston Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220031
Location1 Boston Medical Center PlaceBoston, MA 02118 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11 MELNEA CASS BLVD
BOSTON, MA 02119
Nurse Practitioner (Family)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Family Medicine
11 MELNEA CASS BLVD
BOSTON, MA 02119
Social Worker (Clinical)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Nurse Practitioner (Family)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Nurse Practitioner (Family)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Pharmacist (Ambulatory Care)
11 MELNEA CASS BLVD
BOSTON, MA 02119
Family Medicine
11 MELNEA CASS BLVD
BOSTON, MA 02119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Ross's NPI number?

The NPI number for Heather Ross is 1033614938. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Where is Heather Ross located?

Heather Ross practices at 11 Melnea Cass Blvd, Boston, MA 02119. The listed phone number is (617) 414-2080.

What is Heather Ross's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Heather Ross enrolled in Medicare?

Yes. Heather Ross is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Ross accept?

Health plans from Anthem Blue Cross and Blue Shield list Heather Ross as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Ross affiliated with any hospitals?

According to CMS data, Heather Ross is affiliated with Boston Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Ross was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.