DR. JACK A ROSS (MD) – Anesthesiology Physician, NPI 1942380506
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
863 ANESTHESIOLOGY in CT
Provider Addresses for DR. JACK A ROSS (MD)
PO BOX 560977
ROCKLEDGE, FL 329560977
Phone: (321) 639-2404
Type: Mailing
20 YORK ST
NEW HAVEN, CT 065103220
Phone: (203) 688-2294
Type: Location
Cocoa Boulevard, Cocoa, Brevard County, Florida, 32922, United States
COCOA, FL 329223723
Phone: (321) 639-2404
Fax: (321) 636-0240
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $468.
Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($153).
Total Amount
$468
General + Research + Ownership
Payments
18
Total payment records
General Amount
$468
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-12
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 |
|---|---|---|---|---|
| I20050512000233 | I | Anesthesiology | FL | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 241 | 231 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 241 | 237 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 154 | 153 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 110 | 110 | $0 |
| 00670 | Anesthesia for extensive surgery on spine | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32956)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | FL | |
| A N E S T H E S I O L O G Y | NY | |
| A N E S T H E S I O L O G Y | NY | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| A N E S T H E S I O L O G Y | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL |
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