DR. KRISTINE M ROSS MD
NPI 1528034279
Internal Medicine in Cincinnati, OH

Q: What is Kristine Ross's NPI number?

The NPI number for Kristine Ross is 1528034279. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Q: What is Kristine Ross's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristine Ross was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 February 23, 2006PECOS EnrolledAccepts Medicare Assignment

76.32/100

CMS Quality Rating

4777 E GALBRAITH RD, CINCINNATI, OH 45236(513) 244-9070(513) 686-5443 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Kristine M Ross Md NPPES

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

DR. KRISTINE M ROSS MD (NPI 1528034279) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35083897) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Adams County Regional Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (1997).

NPPES Registry Identity

NPI1528034279

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. KRISTINE M ROSSCredential: MD

Location Address4777 E GALBRAITH RDCincinnati, OH 45236-2725

Mailing AddressPo Box 633698Cincinnati, OH 45263-3698 · (513) 244-9007 · Fax (513) 686-5443

Phone(513) 244-9070

Fax(513) 686-5443

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1997

Enumeration DateFebruary 23, 2006

Last NPPES UpdateJune 28, 2012

✔ NPI 1528034279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35083897

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4777 E GALBRAITH RD, Cincinnati, OH 45236

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Other Identifiers 5

Medicare UPINH32696OH

Medicare ID-Type Unspecified4130641OH

Medicaid200178900IN

Medicaid64015324KY

Medicaid2270920OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Kristine 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 ID42293391

PECOS Enrollment IDI20040609000469

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

Medicare enrollment records show Kristine Ross reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adams County Regional Medical Center

35 mi

Rural Health

4881 STATE ROUTE 125
Georgetown, OH 45121

Reassigned Medicare billing, Ohio enrollment
42 clinicians in this Medicare group

NPI 1629628920 (937) 378-3075

Usacs Integrated Acute Care Services Of Ohio, LLC

58 mi

Internal Medicine

100 MEDICAL CENTER DR
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
494 clinicians in this Medicare group

NPI 1043805690 (844) 474-4019

Hospitalist Medicine Physicians Of Ohio, Professional Corporation

98 mi

Internal Medicine

6001 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
776 clinicians in this Medicare group

NPI 1043572290 (614) 234-7535

Hospitalist Medicine Physicians Of Richland County, Ltd

193 mi

Internal Medicine

1320 MERCY DR NW
Canton, OH 44708

Reassigned Medicare billing, Ohio enrollment
456 clinicians in this Medicare group

NPI 1639119027 (330) 489-1000

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

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.

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.

605 services190 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.

350 services161 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.

209 services189 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

195 services180 patients

Hospital Affiliations CMS Care Compare

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

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number361326

Location230 Medical Center DriveSeaman, OH 45679 · Adams County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

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.

76.32/100

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

Scored as part of a group practice

Quality

72.77

Improvement Activities

Cost

24.41

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$61.62 avg. paid by Medicare

For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512

DME-Orthotic Devices · category DF000N

1 supplier11 claims66 services$25.13 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers14 claims265 services$6.87 avg. paid by Medicare

Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6203

DME-Medical/Surgical Supplies · category DA023N

2 suppliers25 claims930 services$3.25 avg. paid by Medicare

Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222

DME-Medical/Surgical Supplies · category DA023N

3 suppliers13 claims555 services$2.05 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

2 suppliers12 claims1,356 services$0.37 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 20

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

JEWISH HOSPITAL LLC

Pharmacy (Community/Retail Pharmacy)