ROSS REVELLA DC
NPI 1548818917
Chiropractor in St Petersburg, FL

Active since August 29, 2019Accepts Medicare Assignment
48.59/100
CMS Quality Rating
5415 4TH ST N, ST PETERSBURG, FL 33703(727) 521-4244 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 25, 2026, Aug 29, 2019 (2 updates tracked since 2019).

About Ross Revella Dc NPPES

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

ROSS REVELLA DC (NPI 1548818917) is an individual chiropractor in St Petersburg, Florida, licensed in Florida (12906) and active in the NPI registry since August 2019. He is a graduate of National College Of Chiropractic (2019).

NPPES Registry Identity

NPI1548818917
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameROSS REVELLACredential: DC
Location Address5415 4TH ST NSt Petersburg, FL 33703-2249
Mailing Address5415 4th St NSt Petersburg, FL 33703-2249 · (727) 521-4244
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 2019
Enumeration DateAugust 29, 2019
Last NPPES UpdateJanuary 25, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2026
✔ NPI 1548818917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 12906
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
5415 4TH ST N, St Petersburg, FL 33703

Accepted 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

Ross Revella Dc 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 ID143655035
PECOS Enrollment IDI20200123000677

Medicare Billing Reassignments

2

Medicare enrollment records show Ross Revella reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
5415 4TH ST N
St Petersburg, FL 33703
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
Chiropractor
11444 SEMINOLE BLVD
Largo, FL 33778
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group

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

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.

48.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability91
Improvement Activities40
Cost36.13

Other Providers at the Same Location NPPES 3

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

Pharmacy (Community/Retail Pharmacy)
5415 4TH ST N
ST PETERSBURG, FL 33703
Chiropractor
5415 4TH ST N
ST PETERSBURG, FL 33703
Chiropractor
5415 4TH ST N
ST PETERSBURG, FL 33703

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 Ross Revella's NPI number?

The NPI number for Ross Revella is 1548818917. It was assigned to this individual provider in the NPPES registry on August 29, 2019.

Where is Ross Revella located?

Ross Revella practices at 5415 4th St N, St Petersburg, FL 33703. The listed phone number is (727) 521-4244.

What is Ross Revella's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ross Revella enrolled in Medicare?

Yes. Ross Revella 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.

Which organizations bill Medicare for Ross Revella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Revella reassigns Medicare benefits to 2 organizations: Bayside Sport & Spine PLLC (St Petersburg, FL) and Hollstrom & Associates Inc (Largo, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ross Revella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ross Revella accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Providence Health Plan, UnitedHealthcare and Wellpoint list Ross Revella 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.

When was this NPI record last updated?

The NPPES record for Ross Revella was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.