DR. SCOTT M ROSS (MD) – Dermatology Physician, NPI 1417944349

DR. SCOTT M ROSS (MD) is a healthcare provider. based in St louis park, Minnesota. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 21367 (AZ). The NPI Number for DR. SCOTT M ROSS (MD) is 1417944349

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT M ROSS (MD)
NPI
1417944349
Phone
(952) 933-8900
Address
4201 EXCELSIOR BLVD
Enumeration Date
5 October 2005
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4809823337
Graduation Year
1982 (44 years ago)
PAC ID
6608852876
Group Practice PAC ID
5698850543
Professional Enrollment ID
I20160316001219
Address ID
AZ852064616ME4540XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

419 DERMATOLOGY in MN

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Provider Addresses for DR. SCOTT M ROSS (MD)

  • Excelsior Boulevard, Minikahda Vista, Saint Louis Park, Hennepin County, Minnesota, 55416:55424, United States

    ST LOUIS PARK, MN 554164728

    Phone: (952) 933-8900

    Fax: (952) 945-9536

    Type: Mailing

  • 18601 LINCOLN ST

    WHITEHALL, WI 547738605

    Phone: (715) 538-4361

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $261.

Total Amount is formed as General ($261) + Research ($0) + Ownership ($0) = $261.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Lilly USA, LLC ($40).

Total Amount

$261

General + Research + Ownership

Payments

14

Total payment records

General Amount

$261

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

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 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20050108000056IDermatologyMNTBD
I20160316001219IDermatologyAZTBD
I20240508004135IDermatologyCOTBD
I20250610004122IDermatologyWITBD

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
17003Destruction of precancer skin growth, 2-14 growths45084$0
99213Established patient office or other outpatient visit, 20-29 minutes150140$0
17000Destruction of precancer skin growth, 1 growth127108$0
17110Destruction of skin growth, 1-14 growths10396$0
99203New patient office or other outpatient visit, 30-44 minutes6262$0
View full utilization report →

Insurance plans in this area (ZIP 55416)

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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: 5698850543View full group profile
NameSpecialtyState
Dermatology, Micrographic Dermatologic Surgery (Mds), General PracticeFL
Nurse PractitionerAZ
Nurse PractitionerAZ
Family Practice, DermatologyAZ
D E R M A T O L O G YAZ
Micrographic Dermatologic Surgery (Mds), DermatologyAZ
Physician AssistantNV
D E R M A T O L O G YCA
D E R M A T O L O G YAZ
Nurse PractitionerAZ

Reviews

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Frequently asked questions

How do I look up DR. SCOTT M ROSS (MD) by NPI?
Use NPI 1417944349 when you need to reference DR. SCOTT M ROSS (MD) in forms, claims, or directories.
Is DR. SCOTT M ROSS (MD)'s NPI currently valid?
The extract we use shows DR. SCOTT M ROSS (MD) as active.
What does DR. SCOTT M ROSS (MD) treat or focus on?
Patients typically see DR. SCOTT M ROSS (MD) under the specialty Dermatology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. SCOTT M ROSS (MD)?
The page summarizes St Louis Park, Minnesota for DR. SCOTT M ROSS (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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