GLEN ROSS (M.D.) – Orthopaedic Surgery Physician, NPI 1114985348
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
947 ORTHOPEDIC SURGERY in MA
Provider Addresses for GLEN ROSS (M.D.)
840 Winter St.
Pro Sports Ortho.
Waltham, MA 02451
Phone: (781) 487-9444
Type: Location
20, Guest Street, North Brighton, Brighton, Boston, Suffolk County, Massachusetts, 02135, United States
STE 225
BRIGHTON, MA 021352065
Phone: (617) 738-8642
Fax: (617) 202-4172
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 95 Open Payments records for all available years, with a total value of $15,120.
Total Amount is formed as General ($15,120) + Research ($0) + Ownership ($0) = $15,120.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: EXACTECH, INC. ($6,362).
Total Amount
$15,120
General + Research + Ownership
Payments
95
Total payment records
General Amount
$15,120
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EXACTECH, INC. | $6,362 |
| Arthrex, Inc. | $3,153 |
| Stryker Corporation | $2,948 |
| Kairos Surgical Inc | $786 |
| Innovation Technologies Inc | $334 |
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: 2011-12-07
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 |
|---|---|---|---|---|
| I20111207000051 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 272 | 187 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 175 | 150 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 112 | 91 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 111 | 111 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 02451)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MA | |
| Orthopedic Surgery | MA | |
| Pain Management | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA | |
| Orthopedic Surgery | MA | |
| Physical Medicine And Rehabilitation, Orthopedic Surgery | MA | |
| Hand Surgery, Orthopedic Surgery | MA | |
| Physician Assistant | MA | |
| Physician Assistant | MA |
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