DR. EVAN M ROSS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1972913069

DR. EVAN M ROSS (DPM) is a healthcare provider. based in Louisville, Kentucky. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 00448 (KY). The NPI Number for DR. EVAN M ROSS (DPM) is 1972913069

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. EVAN M ROSS (DPM)
NPI
1972913069
Phone
(502) 459-3338
Address
1915 BISHOP LN
Enumeration Date
29 April 2014
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413833668
Graduation Year
2011 (15 years ago)
PAC ID
9931327632
Group Practice PAC ID
9133126113
Professional Enrollment ID
I20201222001580
Address ID
OR977016071BE1506XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

214 PODIATRY in KY

Provider Addresses for DR. EVAN M ROSS (DPM)

  • 1915 BISHOP LN

    LOUISVILLE, KY 402181901

    Phone: (502) 459-3338

    Fax: (502) 459-7509

    Type: Mailing

  • CORNER OF ROUTE N12 AND N7

    FORT DEFIANCE, AZ 86504

    Phone: (928) 729-8000

    Type: Location

  • PO Box 649

    Fort Defiance, AZ 865040649

    Phone: (928) 729-8000

    Type: Location

  • 66 FINS RIGHT LN

    HARDEEVILLE, SC 299271500

    Phone: (440) 840-3826

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 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: 2024-05-10 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($351).

Total Amount

$468

General + Research + Ownership

Payments

16

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

2024-05-10

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2025-06-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201222001580IPodiatryORTBD
I20250610003106IPodiatryTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails805425$0
99213Established patient office or other outpatient visit, 20-29 minutes329212$0
73630X-ray of foot, minimum of 3 views238158$0
99203New patient office or other outpatient visit, 30-44 minutes188188$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg12361$0
View full utilization report →

Insurance plans in this area (ZIP 40218)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133126113View full group profile
NameSpecialtyState
P O D I A T R YOR
P O D I A T R YOR
P O D I A T R YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. EVAN M ROSS (DPM)?
DR. EVAN M ROSS (DPM) — NPI 1972913069 — is the standard way to identify this listing.
Is DR. EVAN M ROSS (DPM) still practicing?
DR. EVAN M ROSS (DPM) is currently listed as active in the public NPI registry.
What is DR. EVAN M ROSS (DPM) best known for clinically?
Directory data describes DR. EVAN M ROSS (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Does DR. EVAN M ROSS (DPM) list a practice location?
Patients near Louisville, Kentucky may find DR. EVAN M ROSS (DPM) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.