DR. KELLY L. ROSS (DO) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1053384818

DR. KELLY L. ROSS (DO) is a healthcare provider. based in Marshall, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials DO. They hold a License No. 2005023176 (MO). The NPI Number for DR. KELLY L. ROSS (DO) is 1053384818

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY L. ROSS (DO)
NPI
1053384818
Phone
(660) 831-3553
Address
2305 SOUTH 65 HIGHWAY
Enumeration Date
10 February 2006
Last Update Date
25 August 2021

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
6608318414
Graduation Year
1997 (29 years ago)
PAC ID
5193750313
Group Practice PAC ID
2567351570
Professional Enrollment ID
I20050927000817
Address ID
MO653403702MA2305X65XX400

Contacts

Secure Messaging
KELLYROSS@fitzgibbon.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

802 ORTHOPEDIC SURGERY in MO

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Provider Addresses for DR. KELLY L. ROSS (DO)

  • 65, Marshall Drive, Stapleford, Bramcote, Nottingham, Nottinghamshire, East Midlands, England, NG9 3LE, United Kingdom

    MARSHALL, MO 653403702

    Phone: (660) 831-3553

    Fax: (660) 831-3325

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2024-09-22 • Largest payer in this snapshot: Organogenesis Inc. ($50).

Total Amount

$129

General + Research + Ownership

Payments

5

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-22

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: 2005-09-27

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050927000817IOrthopedic SurgeryMOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11176$0
20610Aspiration and/or injection of fluid from large joint6857$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
99214Established patient office or other outpatient visit, 30-39 minutes3230$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 65340)

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Provider's Procedures

DR. KELLY L. ROSS (DO) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMO20610Aspiration and/or injection of large joint or joint capsule14387
ORTHOPEDIC SURGERYMO73110X-ray of wrist, minimum of 3 views2012

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: 2567351570View full group profile
NameSpecialtyState
Emergency MedicineMO
Certified Nurse Midwife (Cnm)MO
Hospitalist, Family Practice, Emergency Medicine, Internal MedicineMO
Family PracticeOH
Family PracticeMO
Nurse PractitionerMO
Family PracticeMO
Gastroenterology, Internal MedicineMO
Family PracticeVA
O B S T E T R I C S/ G Y N E C O L O G YMO

Reviews

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Frequently asked questions

What federal number belongs to DR. KELLY L. ROSS (DO)?
The federal identifier for DR. KELLY L. ROSS (DO) is NPI 1053384818.
Is DR. KELLY L. ROSS (DO) active in the national directory?
DR. KELLY L. ROSS (DO)'s public NPI profile is in an active state.
Does DR. KELLY L. ROSS (DO) list a primary specialty?
If you are matching referrals, note Sports Medicine (Orthopaedic Surgery) Physician for DR. KELLY L. ROSS (DO). Clinical services aligned with this taxonomy classification.
Does DR. KELLY L. ROSS (DO) practice in Missouri?
You will see Marshall, Missouri on file for DR. KELLY L. ROSS (DO) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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