JAMES EARL ROSS JR. MD
NPI 1255450656
Emergency Medicine in Live Oak, TX

Q: What is James Ross's NPI number?

The NPI number for James Ross is 1255450656. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Q: What is James Ross's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for James Ross was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment

95.33/100

CMS Quality Rating

12702 TOEPPERWEIN RD, SUITE 140, LIVE OAK, TX 78233(615) 778-4066 Get Directions Write a Review

NPPES record last updated: September 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About James Earl Ross Jr. Md NPPES

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

JAMES EARL ROSS JR. MD (NPI 1255450656) is an individual emergency medicine provider in Live Oak, Texas, licensed in Texas (H6940) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Christus Southeast Texas- St Elizabeth, and is a graduate of Medical College Of Georgia School Of Medicine (1979).

NPPES Registry Identity

NPI1255450656

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJAMES EARL ROSS JR.Credential: MD

Location Address12702 TOEPPERWEIN RD, SUITE 140Live Oak, TX 78233-3278

Mailing Address720 Cool Springs Blvd, Suite 300Franklin, TN 37067-2626 · (615) 778-4066 · Fax (615) 778-9114

Phone(615) 778-4066

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1979

Enumeration DateMarch 28, 2007

Last NPPES UpdateSeptember 21, 2009

✔ NPI 1255450656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · H6940

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License H6940 (TX)

12702 TOEPPERWEIN RD, Live Oak, TX 78233

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

James Earl Ross Jr. 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 ID8921070004

PECOS Enrollment IDI20040810000047

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

219 services204 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

219 services212 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

140 services136 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

54 services53 patients

Hospital Affiliations CMS Care Compare 2

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

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Christus Jasper Memorial Hospital

Acute Care Hospitals · Jasper, TX

OwnershipVoluntary non-profit - Private

CMS Certification Number450573

Location1275 Marvin Hancock DriveJasper, TX 75951 · Jasper County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78233 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

95.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

85.76

Improvement Activities

Other Providers at the Same Location NPPES 10

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

OCCUPATIONAL HEALTH CENTERS OF THE SOUTHWEST P.A.

Clinic/Center (Occupational Medicine)

12702 TOEPPERWEIN RD, SUITE 120
SAN ANTONIO, TX 78233

Bexar County (210) 653-4420

MARIA ANDREA MARTINEZ LMSW

Social Worker

12702 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (210) 286-9339

DR. REGINAL D HARRIS PHARMD, RPH, CPH

Pharmacist

12702 TOEPPERWEIN RD, SUITE 207
LIVE OAK, TX 78233

Bexar County (210) 896-1666

DANIA CAMIL DELA CRUZ PARAAN

Nurse Practitioner (Family)

12702 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (254) 466-1527

MR. LUCIEN ADRIEN MORIN

Technician, Other (EEG)

12702 TOEPPERWEIN RD
LIVE OAK, TX 78233

Bexar County (210) 602-5157

SARAH R COOK P.T.

Physical Therapist

12702 TOEPPERWEIN RD, SUITE 104
LIVE OAK, TX 78233

Bexar County (615) 778-4066

EMERGE COUNSELING AND COACHING SERVICES

Counselor (Professional)

12702 TOEPPERWEIN RD, SUITE 218
LIVE OAK, TX 78233

Bexar County (210) 488-8997

FREEDOM PRIMARY CARE PLLC

Nurse Practitioner (Primary Care)

12702 TOEPPERWEIN RD, SUITE 201
LIVE OAK, TX 78233

Bexar County (210) 701-0690

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 James Ross's NPI number?

The NPI number for James Ross is 1255450656. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is James Ross located?

James Ross practices at 12702 Toepperwein Rd Suite 140, Live Oak, TX 78233. The listed phone number is (615) 778-4066.

What is James Ross's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is James Ross enrolled in Medicare?

Yes. James 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 James Ross accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list James 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 James Ross affiliated with any hospitals?

According to CMS data, James Ross is affiliated with Christus Southeast Texas- St Elizabeth and Christus Jasper Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Ross was last updated on September 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.