DR. CAROLYN COKER ROSS (M.D.) – Addiction Medicine (Family Medicine) Physician, NPI 1386785657
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
267 ADDICTION MEDICINE in CA
Provider Addresses for DR. CAROLYN COKER ROSS (M.D.)
4080 FALCON ST
SAN DIEGO, CA 921031858
Phone: (520) 440-0079
Fax: (855) 651-2323
Type: Mailing
8775 AERO DR STE 238
SAN DIEGO, CA 921231756
Phone: (619) 930-9524
Fax: (619) 269-9245
Type: Mailing
3940 DOVE ST UNIT 207
SAN DIEGO, CA 921032961
Phone: (520) 440-0079
Fax: (855) 651-2323
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2023-03-28 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($98).
Total Amount
$98
General + Research + Ownership
Payments
1
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $98 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-10-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181003001923 | I | Addiction Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 65 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 15 | $0 |
Insurance plans in this area (ZIP 92103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| Clinical Psychologist | CA | |
| Marriage And Family Therapist | CA | |
| Clinical Social Worker | CA | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | CA | |
| Clinical Social Worker | CA | |
| Clinical Psychologist | CA |
Reviews
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