MS. CARISSA MARIE ROSS (MD) – Obstetrics & Gynecology Physician, NPI 1114943115

MS. CARISSA MARIE ROSS (MD) is a healthcare provider. based in Medford, Oregon. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MD26545 (OR). The NPI Number for MS. CARISSA MARIE ROSS (MD) is 1114943115

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. CARISSA MARIE ROSS (MD)
NPI
1114943115
Phone
(541) 864-8900
Address
3170 STATE ST
Enumeration Date
14 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
5418648900
Graduation Year
2002 (24 years ago)
PAC ID
5496750796
Group Practice PAC ID
1254326259
Professional Enrollment ID
I20060920000153
Address ID
OR975048450ME3170XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

632 OBSTETRICS/GYNECOLOGY in OR

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Provider Addresses for MS. CARISSA MARIE ROSS (MD)

  • 3170, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048450

    Phone: (541) 864-8900

    Fax: (541) 245-3315

    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 20 Open Payments records for all available years, with a total value of $608.

Total Amount is formed as General ($608) + Research ($0) + Ownership ($0) = $608.

Last reported payment date: 2024-03-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($237).

Total Amount

$608

General + Research + Ownership

Payments

20

Total payment records

General Amount

$608

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-18

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: 2006-09-20

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
I20060920000153IObstetrics/GynecologyORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97504)

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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: 1254326259View full group profile
NameSpecialtyState
-OR
Certified Nurse Midwife (Cnm)OR
Nurse PractitionerMA
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I cross-check MS. CARISSA MARIE ROSS (MD) using NPI 1114943115?
NPI 1114943115 belongs to MS. CARISSA MARIE ROSS (MD); compare other details if you need extra assurance.
Is MS. CARISSA MARIE ROSS (MD) shown as active in public data?
Registry records indicate MS. CARISSA MARIE ROSS (MD) maintains an active NPI.
What expertise is attributed to MS. CARISSA MARIE ROSS (MD)?
MS. CARISSA MARIE ROSS (MD)'s specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is MS. CARISSA MARIE ROSS (MD) associated with Medford?
Public fields place MS. CARISSA MARIE ROSS (MD) around Medford, Oregon. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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