DR. HOLLY ELAINE ROSS M.D. NPI 1740276633
General Practice in Ann Arbor, MI
About DR. HOLLY ELAINE ROSS M.D.
Holly Ross is a primary care provider established in Ann Arbor, Michigan and her medical specialization is General Practice with more than 24 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1999. The NPI number of this provider is 1740276633 and was assigned on September 2005. The practitioner's primary taxonomy code is 208D00000X with license number 0420010866 (VT). The provider is registered as an individual and her NPI record was last updated 16 years ago.
NPI | 1740276633 |
Provider Name | DR. HOLLY ELAINE ROSS M.D. |
Location Address | 1500 E MEDICAL CENTER DR L2003 WOMEN'S, BOX 0239 ANN ARBOR, MI 48109 |
Location Phone | (734) 615-2690 |
Mailing Address | 3460 WEXFORD CT ANN ARBOR, MI 48108 |
Gender | Female |
NPI Entity Type | Individual |
Medical School Name | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
Graduation Year | 1999 |
Is Sole Proprietor? | No |
Enumeration Date | 09-26-2005 |
Last Update Date | 07-08-2007 |
A primary care provider (PCP) like Holly Ross sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc Holly Ross is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Holly Ross is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with St Joseph Mercy Hospital and University Of Michigan Health System.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: breast cancer screening, chronic care and preventative care management for empaneled patients, clinical data registry reporting, colorectal cancer screening, diabetes: eye exam, e-prescribing, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, provide patients electronic access to their health information, public health registry reporting, query of the prescription drug monitoring program (pdmp), security risk analysis, support electronic referral loops by sending health information and use of decision support and standardized treatment protocols.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Taxonomy Code | 208D00000X |
Classification | General Practice |
Type | Allopathic & Osteopathic Physicians |
License No. | 0420010866 |
License State | VT |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
1500 E MEDICAL CENTER DR
L2003 WOMEN'S, BOX 0239
ANN ARBOR, MI
ZIP 48109
Phone: (734) 615-2690
Mailing Address
3460 WEXFORD CT
ANN ARBOR, MI
ZIP 48108
Phone: (734) 369-8272
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Registered in PECOS? | Yes |
PECOS PAC ID | 3072579077 |
PECOS Enrollment ID | I20110214000889 |
Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
Eligible order / refer Durable Medical Equipment | Yes |
Eligible order / refer Home Health Agency (HHA) | Yes |
Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
MIPS Measure | Score Weight | Score | |
---|---|---|---|
Quality | 40% | 100 | |
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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Promoting Interoperability (PI) | 25% | 76.8 | |
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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Improvement Activities | 15% | 40 | |
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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Cost | 20% | N/A | |
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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MIPS Final Score | - | 96.3 | |
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. |
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
---|---|---|
Breast Cancer Screening | 54% | 228 |
Percentage of women 50 - 74 years of age who had a mammogram to screen for breast cancer | ||
Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:- Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;- Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;- Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;- Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;- Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
Clinical Data Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
Colorectal Cancer Screening | 60% | 402 |
Percentage of patients 50-75 years of age who had appropriate screening for colorectal cancer | ||
Diabetes: Eye Exam | 16% | 146 |
Percentage of patients 18 - 75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal or dilated eye exam (no evidence of retinopathy) in the 12 months prior to the measurement period | ||
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%) | 29% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 146 |
Percentage of patients 18-75 years of age with diabetes who had hemoglobin A1c > 9.0% during the measurement period | ||
e-Prescribing | 97% | 2294 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
Implementation of medication management practice improvements | Yes | N/A |
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews. | ||
Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
Provide Patients Electronic Access to Their Health Information | 80% | 1376 |
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
Public Health Registry Reporting | Yes | N/A |
The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. | ||
Query of the Prescription Drug Monitoring Program (PDMP) | Yes | N/A |
For at least one Schedule II opioid electronically prescribed using CEHRT during the performance period, the MIPS eligible clinician uses data from CEHRT to conduct a query of a Prescription Drug Monitoring Program (PDMP) for prescription drug history, except where prohibited and in accordance with applicable law. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Support Electronic Referral Loops By Sending Health Information | 2% | 433 |
For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider - (1) creates a summary of care record using certified electronic health record technology (CEHRT); and (2) electronically exchanges the summary of care record. | ||
Use of decision support and standardized treatment protocols | Yes | N/A |
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. |
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 39Hemoglobin A1C level (HCPCS:83036)
- 13Urinalysis, manual test (HCPCS:81002)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Holly Ross is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
---|---|---|---|---|---|
ST JOSEPH MERCY HOSPITAL | 5301 E HURON RIVER DR ANN ARBOR, MI 48106 | (734) 712-3456 | Acute Care Hospitals | 230156 | |
UNIVERSITY OF MICHIGAN HEALTH SYSTEM | 1500 E MEDICAL CENTER DRIVE, SPC 5474 ANN ARBOR, MI 48109 | (734) 764-1505 | Acute Care Hospitals | 230046 |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State |
---|---|---|
VN3577 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
0VN3577 | MEDICAID (05) | VT |
I21769 | MEDICARE UPIN (02) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 4 | 0 | 2 | 7 | 6 | 6 | 3 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 8 | 0 | 4 | 7 | 12 | 6 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 8 + 0 + 4 + 7 + 1 + 2 + 6 + 6 + 24 = 67 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 67 = 3 | 3 |
The NPI number 1740276633 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1669475836 | DR. TAMI L. REMINGTON PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-5023 |
1275536401 | DR. JAMES G STEVENSON PHARMD Individual | Pharmacist | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 647-7794 |
1508864315 | DR. SALLY K GUTHRIE PHARM.D. Individual | Pharmacist (Psychiatric) | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 647-2350 |
1356343370 | ANDREA RAE BOTTERILL PA Individual | Physician Assistant | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP C ANN ARBOR, MI 48109 (734) 936-5780 |
1871586719 | DR. KARLA AURORA BLACKWOOD MD Individual | Psychiatry & Neurology (Psychiatry) | 1500 E MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY ANN ARBOR, MI 48109 (734) 996-4747 |
1871586479 | DEBORAH LOUISE VIHER NP Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
1265420228 | MS. DEBRA BANCROFT RIZZO F.N.P.-C Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 3RD TAUBMAN CENTER RECP A ANN ARBOR, MI 48109 (734) 647-5900 |
1992794481 | WILLIAM CHARLES STACEY M.D., PHD Individual | Psychiatry & Neurology (Neurology) | 1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP C ANN ARBOR, MI 48109 (734) 936-9010 |
1104809623 | DR. ELIZABETH KATHERINE SPELIOTES MD PHD Individual | Internal Medicine (Gastroenterology) | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
1114903549 | DR. ROBERT ADAM LIOTTA M.D. Individual | Radiology (Diagnostic Radiology) | 1500 E MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP C ANN ARBOR, MI 48109 (734) 936-4566 |
1114998580 | LISA A HARRIS SPINNER CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP E ANN ARBOR, MI 48109 (734) 763-6295 |
1609849447 | HUI HUA S YUE CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4280 |
1801863741 | SHANNON LEE MITCHELL CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL ANN ARBOR, MI 48109 (734) 936-4280 |
1841267788 | CHRISTINA BUSH CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4280 |
1922076215 | MARLENA STANKIEWICZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL ANN ARBOR, MI 48109 (734) 936-4280 |
1497724835 | DENISE R BAUER N.P. Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 7TH FLOOR MOTT RM F7830 ANN ARBOR, MI 48109 (734) 763-7354 |
1972564458 | MRS. CARRIE LEE LINT RN ACNP Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP G ANN ARBOR, MI 48109 (734) 936-7010 |
1851353932 | MRS. TAMARA MANGAN GHORMLEY NP Individual | Nurse Practitioner (Family) | 1500 E MEDICAL CENTER DR B1 FLOOR CANCER CTR RECP C ANN ARBOR, MI 48109 (734) 936-6000 |
1568428951 | ELENA MARTINEZ STOFFEL MD MPH Individual | Internal Medicine (Gastroenterology) | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
1942267307 | JOHN O'NEILL CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4280 |
Frequently Asked Questions
What is Dr. Holly Ross M.D. NPI number?
The NPI number assigned to this healthcare provider is 1740276633, registered as an "individual" on September 26, 2005
Where is Dr. Holly Ross M.D. located?
The provider is located at 1500 E Medical Center Dr L2003 Women's, Box 0239 Ann Arbor, Mi 48109 and the phone number is (734) 615-2690
Which is Dr. Holly Ross M.D. specialty?
The provider's speciality is General Practice
How many years of experience does Dr. Holly Ross M.D. have?
The provider has more than 24 years of experience. She graduated from University Of Texas Southwestern Medical School At Dallas in 1999.
What insurance does Dr. Holly Ross M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Dr. Holly Ross M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Dr. Holly Ross M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences. The provider obtained a high score in the following performance measures: e-Prescribing , Provide Patients Electronic Access to Their Health Information. The quality ratings are based on unbiased reviews and reported submissions to Medicare's Quality Payment Program.
What are some of the services provided by Dr. Holly Ross M.D.?
The most common procedures or services performed by this practitioner are: Hemoglobin A1C level and Urinalysis, manual test.
Is Dr. Holly Ross M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: ST JOSEPH MERCY HOSPITAL and UNIVERSITY OF MICHIGAN HEALTH SYSTEM. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Dr. Holly Ross M.D. was last updated on September 26, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]