PAUL JAMES ROSS PA-C
NPI 1215430616
Physician Assistant in Martin, KY

Active since March 12, 2018PECOS EnrolledAccepts Medicare Assignment
97.4/100
CMS Quality Rating
11087 MAIN ST, MARTIN, KY 41649(606) 285-3690(606) 285-1443 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 7, 2020, Mar 12, 2018 (2 updates tracked since 2018).

About Paul James Ross Pa-c NPPES

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

PAUL JAMES ROSS PA-C (NPI 1215430616) is an individual physician assistant in Martin, Kentucky, licensed in Kentucky (PA2361) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains a secondary practice location in Salyersville.

NPPES Registry Identity

NPI1215430616
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL JAMES ROSSCredential: PA-C
Location Address11087 MAIN STMartin, KY 41649-7999
Mailing Address200 Wildcat DrOil Springs, KY 41238-9107 · (606) 496-8834
Fax(606) 285-1443
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 12, 2018
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
NPI 1215430616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in KY · PA2361
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

11087 MAIN ST, Martin, KY 41649

Secondary Practice Location 1

Location 1100 Brianna Boulevard, Suite 100Salyersville, KY 41465-9811 · Phone (606) 349-3800 · Fax (606) 263-5619

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

Paul James Ross Pa-c 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 ID3678836053
PECOS Enrollment IDI20180417002511
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.

Hospital Affiliations CMS Care Compare 3

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180005
Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County
Emergency services Birthing friendly

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180044
Location911 Bypass RoadPikeville, KY 41501 · Pike County
Emergency services Birthing friendly

Arh Our Lady Of The Way

Critical Access Hospitals · Martin, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181305
Location11203 Main StreetMartin, KY 41649 · Floyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41649 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.55
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$108.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Physician Assistant
11087 MAIN ST
MARTIN, KY 41649
Family Medicine
11087 MAIN ST
MARTIN, KY 41649
Physician Assistant
11087 MAIN ST
MARTIN, KY 41649
Clinic/Center (Rural Health)
11087 MAIN ST
MARTIN, KY 41649
Internal Medicine
11087 MAIN ST
MARTIN, KY 41649

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 Paul Ross's NPI number?

The NPI number for Paul Ross is 1215430616. It was assigned to this individual provider in the NPPES registry on March 12, 2018.

Where is Paul Ross located?

Paul Ross practices at 11087 Main St, Martin, KY 41649. The listed phone number is (606) 285-3690.

What is Paul Ross's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Ross enrolled in Medicare?

Yes. Paul 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 Paul Ross accept?

Health plans from CareSource list Paul 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 Paul Ross affiliated with any hospitals?

According to CMS data, Paul Ross is affiliated with Highlands Arh Regional Medical Center, Pikeville Medical Center and Arh Our Lady Of The Way.

When was this NPI record last updated?

The NPPES record for Paul Ross was last updated on August 7, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.