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JEREMY ROSS MD PLLC
NPI 1053814160
Clinic/Center - Primary Care in Muskogee, OK

Active since March 14, 2018CLIA 37D2152925 · Waiver
329 S 38TH ST, MUSKOGEE, OK 74401(918) 687-9999(918) 686-7078 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2025, Mar 14, 2018 (2 updates tracked since 2018).

About Jeremy Ross Md Pllc NPPES

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

JEREMY ROSS MD PLLC (NPI 1053814160) is a healthcare organization registered as a primary care in Muskogee, Oklahoma and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through August 19, 2028 and lists Jeremy Michael Ross, Owner, as its authorized official.

NPPES Registry Identity

NPI1053814160
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJEREMY ROSS MD PLLC
Location Address329 S 38TH STMuskogee, OK 74401-4945
Mailing Address329 S 38th StMuskogee, OK 74401-4945 · (918) 687-9999 · Fax (918) 686-7078
Phone(918) 687-9999
Fax(918) 686-7078
Organization SubpartNo
Authorized OfficialJeremy Michael RossOwner · (918) 687-9999
Enumeration DateMarch 14, 2018
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1053814160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OK · 31424
329 S 38TH ST, Muskogee, OK 74401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Ross Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeremy Ross MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Ross, M.D.
Family Practice
NPI 1063890697
329 S 38TH ST
Muskogee, OK 74401
(918) 687-9999
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2152925

Jeremy Ross MD, PLLC · Muskogee, OK
Active · expires Aug 19, 2028
CLIA Number37D2152925
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2026
Certificate Expiration DateAugust 19, 2028
Laboratory DirectorJeremy M. Ross
Laboratory Phone(918) 682-8631
Laboratory LocationJeremy Ross MD, PLLC329 S 38th St, Muskogee, OK 74401
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Jeremy Ross MD PLLC's NPI number?

The NPI number for Jeremy Ross MD PLLC is 1053814160. It was assigned to this organization in the NPPES registry on March 14, 2018.

Where is Jeremy Ross MD PLLC located?

Jeremy Ross MD PLLC is located at 329 S 38th St, Muskogee, OK 74401. The listed phone number is (918) 687-9999.

What is Jeremy Ross MD PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Jeremy Ross MD PLLC enrolled in Medicare?

Yes. Jeremy Ross MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeremy Ross MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Jeremy Ross MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jeremy Ross MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2152925) is associated with this NPI, valid through August 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jeremy Ross MD PLLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.