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DOUGLAS S ROSS MD
NPI 1780690198
Internal Medicine - Pulmonary Disease in Provo, UT

Active since July 31, 2006PECOS Enrolled
1055 N 300 W, #500, PROVO, UT 84604(801) 357-7291 Get Directions Write a Review

NPPES record last updated: June 15, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Douglas S Ross Md NPPES

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

DOUGLAS S ROSS MD (NPI 1780690198) is an individual pulmonary disease provider in Provo, Utah, licensed in Utah (1757491205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780690198
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDOUGLAS S ROSSCredential: MD
Location Address1055 N 300 W, #500Provo, UT 84604-3344
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-7291
Phone(801) 357-7291
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateJune 15, 2010
✔ NPI 1780690198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in UT · 1757491205
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1055 N 300 W, Provo, UT 84604
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN000064144UT
Medicare UPINF25055UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas S Ross Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Douglas Ross reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
0.4 mi
Obstetrics & Gynecology
1355 N UNIVERSITY AVE, #110
Provo, UT 84604
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1114191517 (801) 374-5000

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.

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.
51 services31 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
27 services27 patients
Sleep study including heart rate, breathing, airflow, and effort 95806
A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.
22 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers62 claims62 services$35.37 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers36 claims36 services$88.61 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers40 claims94 services$33.72 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers17 claims87 services$18.25 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers15 claims81 services$15.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers30 claims30 services$53.56 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 20

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

UTAH SLEEP MEDICINE CENTER
Clinic/Center (Sleep Disorder Diagnostic)
1055 N 300 W, SUITE 402
PROVO, UT 84604
Utah County (801) 357-7878
JAMES THOMAS DANE MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1055 N 300 W, #110
PROVO, UT 84604
Utah County (801) 357-7081
DR. MAX FORD MCBRIDE PH.D.
Psychologist (Clinical)
1055 N 300 W, SUITE 414
PROVO, UT 84604
Utah County (801) 357-7757
INTERMOUNTAIN VEIN CENTER
Specialist
1055 N 300 W, #308
PROVO, UT 84604
Utah County (801) 379-6700
DR. PHILLIP LEE CHAFFIN JR. MD
Otolaryngology (Pediatric Otolaryngology)
1055 N 300 W, STE 401
PROVO, UT 84604
Utah County (801) 357-7499
GEORGE C GOURLEY, DO
Obstetrics & Gynecology (Gynecology)
1055 N 300 W, SUITE 305
PROVO, UT 84604
Utah County (801) 357-7190
CURTIS G THOMAS AUD
Audiologist
1055 N 300 W, STE 401
PROVO, UT 84604
Utah County (801) 357-7499
JENNY COY NP
Nurse Practitioner
1055 N 300 W, STE 401
PROVO, UT 84604
Utah County (801) 357-7499

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 Douglas Ross's NPI number?

The NPI number for Douglas Ross is 1780690198. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Douglas Ross located?

Douglas Ross practices at 1055 N 300 W #500, Provo, UT 84604. The listed phone number is (801) 357-7291.

What is Douglas Ross's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Douglas Ross enrolled in Medicare?

Yes. Douglas Ross is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Ross's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Ross reassigns Medicare benefits to Ihc Health Services Inc (Provo, UT). 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 Douglas Ross's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Ross accept?

Health plans from Select Health list Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Ross was last updated on June 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.