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DR. CHARLES AARON ROSS D.O.
NPI 1306005137
Family Medicine in Kingsport, TN

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
1335 E CENTER ST, SUITE 1, KINGSPORT, TN 37664(423) 247-2263(423) 434-0818 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Charles Aaron Ross D.o. NPPES

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

DR. CHARLES AARON ROSS D.O. (NPI 1306005137) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (2271) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2008).

NPPES Registry Identity

NPI1306005137
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHARLES AARON ROSSCredential: D.O.
Location Address1335 E CENTER ST, SUITE 1Kingsport, TN 37664-2489
Mailing Address320 Wynfield CtKingsport, TN 37663-2900 · (423) 247-2263 · Fax (423) 246-1943
Phone(423) 247-2263
Fax(423) 434-0818
Sole ProprietorYes
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2008
Enumeration DateJune 6, 2008
Last NPPES UpdateDecember 11, 2015
✔ NPI 1306005137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 2271
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1335 E CENTER ST, Kingsport, TN 37664
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Other Identifiers 1

Medicare PIN103I082864TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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

Dr. Charles Aaron Ross D.o. 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 ID7719155845
PECOS Enrollment IDI20110715000579
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
117 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
95 services60 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
74 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
70 services70 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37664 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
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.

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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
84%243 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%2,635 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%1,608 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%609 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%519 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%504 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
25%871 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%519 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers14 claims55 services$6.14 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 6

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

CYNTHIA NORRIS PULITZER D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1335 E CENTER ST
KINGSPORT, TN 37664
Sullivan County (423) 246-3001
HORIZON FAMILY MEDICINE PLLC
Family Medicine
1335 E CENTER ST, #1
KINGSPORT, TN 37664
Sullivan County (423) 247-2263
HALLIBURTON ORTHODONTICS,P.C.
Dentist (Orthodontics and Dentofacial Orthopedics)
1335 E CENTER ST
KINGSPORT, TN 37664
Sullivan County (423) 246-3001
DR. PHILLIP EDWARD MARSHALL D.D.S.
Dentist
1335 E CENTER ST
KINGSPORT, TN 37664
Sullivan County (423) 247-5125
DR. SAMUEL FLETTRICH PULITZER D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
1335 E CENTER ST
KINGSPORT, TN 37664
Sullivan County (423) 246-3001
LARRY HEATH GILLENWATER DDS
Dentist
1335 E CENTER ST
KINGSPORT, TN 37664
Sullivan County (423) 247-5125

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 Charles Ross's NPI number?

The NPI number for Charles Ross is 1306005137. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Charles Ross located?

Charles Ross practices at 1335 E Center St Suite 1, Kingsport, TN 37664. The listed phone number is (423) 247-2263.

What is Charles Ross's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Charles Ross enrolled in Medicare?

Yes. Charles 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 Charles Ross accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Charles 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 Charles Ross affiliated with any hospitals?

According to CMS data, Charles Ross is affiliated with Wellmont Holston Valley Medical Center and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Charles Ross was last updated on December 11, 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.