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JAMES ROSS M.D.
NPI 1659799278
Surgery in San Francisco, CA

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVENUE S-321, SAN FRANCISCO, CA 94143(415) 476-1239 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Ross M.d. NPPES

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

JAMES ROSS M.D. (NPI 1659799278) is an individual surgery provider in San Francisco, California, licensed in California (142020) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659799278
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES ROSSCredential: M.D.
Location AddressUCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVENUE S-321San Francisco, CA 94143-0470
Mailing AddressUcsf Department Of Surgery, 513 Parnassus Avenue S-321San Francisco, CA 94143-0470
Phone(415) 476-1239
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateApril 26, 2016
✔ NPI 1659799278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · 142020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
UCSF DEPARTMENT OF SURGERY, San Francisco, CA 94143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

James 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 ID8527351345
PECOS Enrollment IDI20230906001153
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 Reassignment

Medicare enrollment records show James Ross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospitals Medical Group Inc
2,174 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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.
81 services45 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.
27 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services18 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361307
Location870 West Main StreetGeneva, OH 44041 · Ashtabula County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

HAMIDAH MAHMUD
Student in an Organized Health Care Education/Training Program
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVE, S321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1239
MICHAEL JOHN ZOBEL MD
Surgery
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVENUE, S-321
SAN FRANCISCO, CA 94143
San Francisco County (310) 291-7611
CAMILLA GOMES
Surgery
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVE, S321
SAN FRANCISICO, CA 94143
San Francisco County (415) 476-1239
LUCIA MATILLA CALTHORPE
Surgery
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVE S321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1239
WILLA LI
Student in an Organized Health Care Education/Training Program
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVE, S321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1239
DR. JAMES MORGAN GARDNER M.D., PH.D.
Surgery
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVE., S-321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2773
THOMAS MORGAN LI MD
Surgery
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVE, S321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1239
DR. MICHAEL CHARLES HOLLAND M.D.
Plastic Surgery
UCSF DEPARTMENT OF SURGERY, 513 PARNASSUS AVENUE, S-321
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1239

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 James Ross's NPI number?

The NPI number for James Ross is 1659799278. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is James Ross located?

James Ross practices at Ucsf Department Of Surgery 513 Parnassus Avenue S-321, San Francisco, CA 94143. The listed phone number is (415) 476-1239.

What is James Ross's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Ross enrolled in Medicare?

Yes. James 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.

Which organization bills Medicare for James Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ross reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The 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 James Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ross accept?

Health plans from CareSource list James 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 James Ross affiliated with any hospitals?

According to CMS data, James Ross is affiliated with Uh Regional Hospitals, University Hospitals Portage Medical Center, Lake Health, Uh Cleveland Medical Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for James Ross was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.