GARY MICHAEL ROSS D.O.
NPI 1639130099
General Practice in Brewer, ME

Q: What is Gary Ross's NPI number?

The NPI number for Gary Ross is 1639130099. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Gary Ross's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Gary Ross enrolled in Medicare?

No. Gary Ross has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Gary Ross was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 28, 2006Opted out of Medicare · through Jul 1, 2027

401 S MAIN ST, BREWER, ME 04412(207) 989-5588(207) 989-1599 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Gary Michael Ross D.o. NPPES

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

GARY MICHAEL ROSS D.O. (NPI 1639130099) is an individual general practice provider in Brewer, Maine, licensed in Maine (ME1127) and active in the NPI registry since March 2006. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639130099

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameGARY MICHAEL ROSSCredential: D.O.

Location Address401 S MAIN STBrewer, ME 04412-2322

Mailing Address401 S Main StBrewer, ME 04412-2322 · (207) 989-5588 · Fax (207) 989-1599

Phone(207) 989-5588

Fax(207) 989-1599

Sole ProprietorYes

Enumeration DateMarch 28, 2006

Last NPPES UpdateDecember 3, 2013

✔ NPI 1639130099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in ME · ME1127

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

401 S MAIN ST, Brewer, ME 04412

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Other Identifiers 3

Medicare UPIND93053ME

Medicare ID-Type UnspecifiedMM0533ME

Medicaid297030099ME

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Gary Michael Ross D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims22 services$5.43 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 4

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

JONATHAN D SANDAU

Counselor (Addiction (Substance Use Disorder))

401 S MAIN ST
BREWER, ME 04412

Penobscot County (207) 659-1577

PEAK PERFORMANCE PHYSICAL THERAPY, LLC

Physical Therapist

401 S MAIN ST
BREWER, ME 04412

Penobscot County (207) 989-7325

BREWER HEALTH CENTER PA

Clinic/Center

401 S MAIN ST
BREWER, ME 04412

Penobscot County (207) 989-5588

LEO J. DUGAL JR. P.T.

Physical Therapist

401 S MAIN ST
BREWER, ME 04412

Penobscot County (207) 989-7325

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 Gary Ross's NPI number?

The NPI number for Gary Ross is 1639130099. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Gary Ross located?

Gary Ross practices at 401 S Main St, Brewer, ME 04412. The listed phone number is (207) 989-5588.

What is Gary Ross's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gary Ross enrolled in Medicare?

No. Gary Ross has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gary Ross was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.