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DR. ROSS GENE MCFALL MD
NPI 1609303171
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lubbock, TX

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
3514 21ST ST, LUBBOCK, TX 79410(806) 725-1801(806) 723-7437 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2024, May 16, 2017 (2 updates tracked since 2017).

About Dr. Ross Gene Mcfall Md NPPES

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

DR. ROSS GENE MCFALL MD (NPI 1609303171) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Lubbock, Texas, licensed in Texas (V0046) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1609303171
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. ROSS GENE MCFALLCredential: MD
Location Address3514 21ST STLubbock, TX 79410-1210
Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5228 · Fax (806) 723-6532
Phone(806) 725-1801
Fax(806) 723-7437
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2017
Enumeration DateMay 16, 2017
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1609303171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in TX · V0046
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License BP10060549 (TX)
3514 21ST ST, Lubbock, TX 79410
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Secondary Practice Location 1

Location 16550 Fannin St # Sm1401Houston, TX 77030-2717 · Phone (713) 441-5200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, 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. Ross Gene Mcfall 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 ID7618412560
PECOS Enrollment IDI20240716000090
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

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.

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.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453306
Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MORGAN GAMBLE CRNA
Nurse Anesthetist, Certified Registered
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-0000
KYLER W. BARKLEY MD
Internal Medicine (Cardiovascular Disease)
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1801
JAMES E GOLDEN ACNP-BC
Nurse Practitioner (Acute Care)
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1801
RAMAKRISHNAN RANGANATH MD
Internal Medicine (Interventional Cardiology)
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1801
RAVYN NICOLE BARR FNP-C
Nurse Practitioner (Family)
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (067) 251-8018
CLINT ANTHONY HILDEBRAND PAC
Physician Assistant
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1801
JOHN ZIAS MD
Internal Medicine (Cardiovascular Disease)
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1801
ALEXIS CHRISTINE HONEKAMP AGACNP-BC
Nurse Practitioner (Acute Care)
3514 21ST ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1801

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 Mcfall's NPI number?

The NPI number for Ross Mcfall is 1609303171. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Ross Mcfall located?

Ross Mcfall practices at 3514 21st St, Lubbock, TX 79410. The listed phone number is (806) 725-1801.

What is Ross Mcfall's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Ross Mcfall enrolled in Medicare?

Yes. Ross Mcfall 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 Ross Mcfall accept?

Health plans from Baylor Scott and White Health Plan and UnitedHealthcare list Ross Mcfall 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 Ross Mcfall affiliated with any hospitals?

According to CMS data, Ross Mcfall is affiliated with Covenant Medical Center, Grace Surgical Hospital and Covenant Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Ross Mcfall was last updated on July 16, 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.