STUART ROSS
NPI 1215457445
Family Medicine - Addiction Medicine in Cookeville, TN

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
1225 S WILLOW AVE, COOKEVILLE, TN 38506(931) 284-4814 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 2, 2021, Jun 20, 2017 (2 updates tracked since 2017).

About Stuart Ross NPPES

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

STUART ROSS (NPI 1215457445) is an individual addiction medicine provider in Cookeville, Tennessee, licensed in Tennessee (4836) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1215457445
Entity TypeIndividualMale
Primary Taxonomy207QA0401X
Provider Legal NameSTUART ROSS
Location Address1225 S WILLOW AVECookeville, TN 38506-4101
Mailing Address101 Manning DrChapel Hill, NC 27514 · (984) 974-1072
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
✔ NPI 1215457445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in TN · 4836
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1225 S WILLOW AVE, Cookeville, TN 38506

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stuart Ross 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 ID8729482260
PECOS Enrollment IDI20221108001465
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Stuart Ross reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation, Substance Use Disorder
301 WOLVERINE TRL
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
  • 46 clinicians in this Medicare group
Addiction Medicine
1512 HATCHER LN
Columbia, TN 38401
  • Reassigned Medicare billing, Tennessee enrollment
  • 64 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38506 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

Counselor (Professional)
1225 S WILLOW AVE
COOKEVILLE, TN 38506

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 Stuart Ross's NPI number?

The NPI number for Stuart Ross is 1215457445. It was assigned to this individual provider in the NPPES registry on June 20, 2017.

Where is Stuart Ross located?

Stuart Ross practices at 1225 S Willow Ave, Cookeville, TN 38506. The listed phone number is (931) 284-4814.

What is Stuart Ross's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Stuart Ross enrolled in Medicare?

Yes. Stuart 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.

Which organizations bill Medicare for Stuart Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stuart Ross reassigns Medicare benefits to 2 organizations: Spero Health Of Tennessee, LLC (Smyrna, TN) and Cedar Recovery Center Of Middle Tennessee, LLC (Columbia, TN). Each 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 Stuart Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stuart Ross accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Stuart 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.

When was this NPI record last updated?

The NPPES record for Stuart Ross was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.