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JAMES M ROSS MD
NPI 1285605113
Internal Medicine - Hospice and Palliative Medicine in Tulsa, OK

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1120 S UTICA AVE, PALLIATIVE CARE DEPT, TULSA, OK 74104(918) 579-3871(918) 579-3809 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James M Ross Md NPPES

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

JAMES M ROSS MD (NPI 1285605113) is an individual hospice and palliative medicine provider in Tulsa, Oklahoma, licensed in Oklahoma (21872) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Hillcrest Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1999).

NPPES Registry Identity

NPI1285605113
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameJAMES M ROSSCredential: MD
Location Address1120 S UTICA AVE, PALLIATIVE CARE DEPTTulsa, OK 74104-4012
Mailing Address1120 S Utica Ave, Palliative Care DeptTulsa, OK 74104-4012 · (918) 579-3871 · Fax (918) 579-3809
Phone(918) 579-3871
Fax(918) 579-3809
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1999
Enumeration DateJanuary 30, 2006
Last NPPES UpdateDecember 3, 2015
✔ NPI 1285605113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in OK · 21872
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 21872 (OK)
1120 S UTICA AVE, Tulsa, OK 74104
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Other Identifiers 3

Medicaid100148490AOK
Medicare PIN246718401OK
Medicare PINOK100052OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health 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 M 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 ID8921108762
PECOS Enrollment IDI20070710000439
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
255 services205 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
187 services177 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.
147 services99 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
70 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Hillcrest Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipProprietary
CMS Certification Number370001
Location1120 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Hillcrest Hospital South

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370202
Location8801 South 101st East AvenueTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

BRITTANY BENNETT
Dietitian, Registered
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-1000
MELISSA ISLAS
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 592-0999
ELISSA SY AG-ACNP, APRN-CNP
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-1000
DR. JULIE CHRISTA DODSON
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-1000
CLINTON ALSUP
Nurse Anesthetist, Certified Registered
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (800) 939-7440
LIBERTY PIERCE HUFF APRN-CNP
Nurse Practitioner (Acute Care)
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 579-1263
TULSA - HILLCREST EMERGENCY PHYSICIANS, INC.
Emergency Medicine
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (918) 728-6194
MICHELLE PIERATT
Anesthesiology
1120 S UTICA AVE
TULSA, OK 74104
Tulsa County (361) 949-4976

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 1285605113. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is James Ross located?

James Ross practices at 1120 S Utica Ave Palliative Care Dept, Tulsa, OK 74104. The listed phone number is (918) 579-3871.

What is James Ross's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

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 Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Oscar Insurance Company and UnitedHealthcare 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 Hillcrest Medical Center, Hillcrest Hospital South and Saint Francis Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for James Ross was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.