SAMUEL E ROSS (M.D.) – Emergency Medicine Physician, NPI 1275979296
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,431 FAMILY PRACTICE in OH
Provider Addresses for SAMUEL E ROSS (M.D.)
1255 W MAIN ST STE B
BELLEVUE, OH 448119015
Phone: (419) 484-5940
Fax: (419) 484-5915
Type: Mailing
272 BENEDICT AVE
NORWALK, OH 448572374
Phone: (419) 668-8101
Type: Mailing
24 HYDE ST
WAKEMAN, OH 448899301
Phone: (440) 839-2226
Fax: (440) 839-1339
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $249.
Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.
Last reported payment date: 2024-09-19 • Largest payer in this snapshot: ABBVIE INC. ($236).
Total Amount
$249
General + Research + Ownership
Payments
20
Total payment records
General Amount
$249
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $236 |
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2019-02-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170607001747 | I | Family Practice | MI | TBD |
| I20190205001779 | I | Family Practice | OH | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 181 | 102 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 48 | 48 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 47 | 36 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 44811)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| Internal Medicine | OH | |
| - | OH | |
| General Surgery | PA | |
| Family Practice | OH | |
| - | OH | |
| Hospice/Palliative Care | OH | |
| - | OH |
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