DAVID L ROSS JR. M.D.
NPI 1487699419
Family Medicine in Cincinnati, OH

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
8593 WINTON RD, CINCINNATI, OH 45231(513) 952-5000 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, Jun 24, 2024 (2 updates tracked since 2024).

About David L Ross Jr. M.d. NPPES

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

DAVID L ROSS JR. M.D. (NPI 1487699419) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35077320) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and maintains a secondary practice location in Milford.

NPPES Registry Identity

NPI1487699419
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID L ROSS JR.Credential: M.D.
Location Address8593 WINTON RDCincinnati, OH 45231-4923
Mailing Address8593 Winton RdCincinnati, OH 45231-4923
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1998
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
NPI 1487699419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OH · 35077320 Licensed in KY · 36975 Licensed in WI · 49924
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.
8593 WINTON RD, Cincinnati, OH 45231

Secondary Practice Location 1

Location 11064 State Route 28 Ste FMilford, OH 45150-4940 · Phone (513) 981-4050 · Fax (513) 322-4859

Other Identifiers 5

Medicaid1487699419WI
Medicaid2277503OH
Medicaid64041007KY
Other990015625KY · Railroad Medicare
Medicaid1487699419OH

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

David L Ross Jr. M.d. 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 ID2365545134
PECOS Enrollment IDI20180119001719
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 2

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 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.
32 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45231 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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 David Ross's NPI number?

The NPI number for David Ross is 1487699419. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is David Ross located?

David Ross practices at 8593 Winton Rd, Cincinnati, OH 45231. The listed phone number is (513) 952-5000.

What is David Ross's specialty?

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

Is David Ross enrolled in Medicare?

Yes. David 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 David Ross accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list David 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 David Ross affiliated with any hospitals?

According to CMS data, David Ross is affiliated with Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for David Ross was last updated on July 18, 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.