SAMUEL ROSS M.D.
NPI 1689917486
Internal Medicine in Beverly Hills, CA

Active since March 29, 2013PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2330981 · Waiver
86.46/100
CMS Quality Rating
8920 WILSHIRE BLVD STE 327, BEVERLY HILLS, CA 90211(310) 573-8947(310) 573-8950 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 28, 2022, Jun 11, 2019 (2 updates tracked since 2019).

About Samuel Ross M.d. NPPES

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

SAMUEL ROSS M.D. (NPI 1689917486) is an individual internal medicine provider in Beverly Hills, California, licensed in California (A133185) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 23, 2027, and is a graduate of Temple University School Of Medicine (2013).

NPPES Registry Identity

NPI1689917486
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAMUEL ROSSCredential: M.D.
Location Address8920 WILSHIRE BLVD STE 327Beverly Hills, CA 90211-2003
Mailing Address11301 Wilshire Blvd, Building 218, Room 217Los Angeles, CA 90073-1003 · (310) 268-3034
Fax(310) 573-8950
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2013
Enumeration DateMarch 29, 2013
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1689917486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A133185
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8920 WILSHIRE BLVD STE 327, Beverly Hills, CA 90211

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

Samuel 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 ID4284957507
PECOS Enrollment IDI20141217002153
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2330981

Samuel Ross MD Inc · Beverly Hills, CA
Active · expires Sep 23, 2027
CLIA Number05D2330981
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorSamuel Ross
Laboratory Phone(310) 573-8947
Laboratory LocationSamuel Ross MD Inc8920 Wilshire Blvd #327, Beverly Hills, CA 90211
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 42

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.

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.
421 services247 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
362 services86 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
319 services216 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
276 services199 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
267 services198 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
217 services175 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90211 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
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.

86.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95.8
Promoting Interoperability100
Improvement Activities40
Cost39.54

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
90%29 patients4/55-star benchmark: 100%
Breast Cancer Screening
61%224 patients3/55-star benchmark: 93%
Cervical Cancer Screening
28%479 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
16%32 patients
Colorectal Cancer Screening
70%645 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
73%319 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
29%108 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%108 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
23%2,650 patients1/55-star benchmark: 100%
e-Prescribing
99%2,654 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
87%437 patients4/55-star benchmark: 100%
Functional Status Assessments for Heart Failure
0%24 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
45%1,639 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
65%1,380 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
34%1,974 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 584 patients
Patients screened: 92% · 584 patients
21%24 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%614 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 15% · 465 patients
Patients totalRate: 19% · 465 patients
16%465 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

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
8 suppliers31 claims62 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims12 services$1.03 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
1 supplier26 claims26 services$41.68 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$14.08 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier27 claims27 services$65.05 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims20 services$15.30 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 3

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

Nurse Practitioner (Family)
8920 WILSHIRE BLVD STE 327
BEVERLY HILLS, CA 90211
Nurse Practitioner (Family)
8920 WILSHIRE BLVD STE 327
BEVERLY HILLS, CA 90211
Nurse Practitioner (Family)
8920 WILSHIRE BLVD STE 327
BEVERLY HILLS, CA 90211

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 Samuel Ross's NPI number?

The NPI number for Samuel Ross is 1689917486. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Samuel Ross located?

Samuel Ross practices at 8920 Wilshire Blvd Ste 327, Beverly Hills, CA 90211. The listed phone number is (310) 573-8947.

What is Samuel Ross's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Samuel Ross enrolled in Medicare?

Yes. Samuel 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.

Does Samuel Ross hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2330981) is associated with this NPI, valid through September 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Samuel Ross was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.