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DAVID R ROSS MD
NPI 1811153158
Orthopaedic Surgery in Mount Pleasant, WI

Active since August 06, 2008PECOS EnrolledAccepts Medicare Assignment
81.61/100
CMS Quality Rating
3811 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-5800 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2020, Aug 1, 2018 (2 updates tracked since 2018).

About David R Ross Md NPPES

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

DAVID R ROSS MD (NPI 1811153158) is an individual orthopaedic surgery provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (61135) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1811153158
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID R ROSSCredential: MD
Location Address3811 SPRING STMount Pleasant, WI 53405
Mailing Address3811 Spring StMount Pleasant, WI 53405-1667 · (262) 687-5800
Phone(262) 687-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 6, 2008
Last NPPES UpdateMarch 20, 20202 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
✔ NPI 1811153158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in WI · 61135
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3811 SPRING ST, Mount Pleasant, WI 53405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

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

David R Ross Md 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 ID3870728025
PECOS Enrollment IDI20131024001579
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.

Areas of Expertise CMS Part B claims 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
132 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
74 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
44 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
36 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Midwest Orthopedic Specialty Hospital

Acute Care Hospitals · Franklin, WI
OwnershipPhysician
CMS Certification Number520205
Location10101 South 27th St 2nd FloorFranklin, WI 53132 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

81.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Improvement Activities40

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.

A.Q.KHAN, M.D., S.C.
Anesthesiology
3811 SPRING ST
RACINE, WI 53405
Racine County (262) 687-6260
RICHARD STOLTENBERG MD
Surgery
3811 SPRING ST, SUITE 201
RACINE, WI 53405
Racine County (262) 687-5850
DR. CHRISTOPHER J MAY PT, DPT, OCS
Physical Therapist
3811 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-5300
MATTHEW ANDERSON DPT
Physical Therapist
3811 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-5300
JANICE GAETH
Audiologist
3811 SPRING ST, SUITE 303
RACINE, WI 53405
Racine County (262) 687-8210
LEIGH PITTS PA
Physician Assistant
3811 SPRING ST, SUITE 201
RACINE, WI 53405
Racine County (262) 687-5800
TINA M L BOTSFORD MSN, FNP-BC
Nurse Practitioner (Family)
3811 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 498-1773
INDUR WADHWANI MD
Urology
3811 SPRING ST
RACINE, WI 53405
Racine County (262) 687-8202

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 David Ross's NPI number?

The NPI number for David Ross is 1811153158. It was assigned to this individual provider in the NPPES registry on August 6, 2008.

Where is David Ross located?

David Ross practices at 3811 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-5800.

What is David Ross's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Ross enrolled in Medicare?

Yes. David 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.

What insurance does David Ross accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list David 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 David Ross affiliated with any hospitals?

According to CMS data, David Ross is affiliated with Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Midwest Orthopedic Specialty Hospital.

When was this NPI record last updated?

The NPPES record for David Ross was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.