DANIEL I ROSS M.D.
NPI 1609876994
Ophthalmology in Allentown, PA

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
99.02/100
CMS Quality Rating
1739 W FAIRMONT ST, ALLENTOWN, PA 18104(610) 437-4988(610) 437-4176 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel I Ross M.d. NPPES

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

DANIEL I ROSS M.D. (NPI 1609876994) is an individual ophthalmology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD036147E) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of State University Of Ny Upstate Medical University (1981).

NPPES Registry Identity

NPI1609876994
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDANIEL I ROSSCredential: M.D.
Location Address1739 W FAIRMONT STAllentown, PA 18104-3189
Mailing Address1739 W Fairmont StAllentown, PA 18104-3189 · (610) 437-4988 · Fax (610) 437-4176
Fax(610) 437-4176
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1981
Enumeration DateJuly 28, 2005
Last NPPES UpdateNovember 12, 2018
NPI 1609876994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD036147E
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1739 W FAIRMONT ST, Allentown, PA 18104

Other Identifiers 1

Medicaid0011667460003PA

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

Daniel I Ross 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 ID2769458496
PECOS Enrollment IDI20091217000125
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 21

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
10,260 services52 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
796 services645 patients
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.
616 services484 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
602 services583 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
504 services479 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
337 services107 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

99.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.05
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Ophthalmology
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Ophthalmology
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Optometrist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Optometrist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Specialist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Ophthalmology
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Optometrist
1739 W FAIRMONT ST
ALLENTOWN, PA 18104
Dentist (General Practice)
1739 W FAIRMONT ST
ALLENTOWN, PA 18104

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 Daniel Ross's NPI number?

The NPI number for Daniel Ross is 1609876994. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Daniel Ross located?

Daniel Ross practices at 1739 W Fairmont St, Allentown, PA 18104. The listed phone number is (610) 437-4988.

What is Daniel Ross's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Daniel Ross enrolled in Medicare?

Yes. Daniel 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 Daniel Ross accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Providence Health Plan list Daniel 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 Daniel Ross affiliated with any hospitals?

According to CMS data, Daniel Ross is affiliated with St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Daniel Ross was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.