DR. ETHAN MITCHELL ROSS (MD) – Emergency Medicine Physician, NPI 1780848507
Emergency Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
824 EMERGENCY MEDICINE in OR
Provider Addresses for DR. ETHAN MITCHELL ROSS (MD)
3325 Pocahontas Rd
Baker City, OR 978141464
Phone: (514) 523-1797
Fax: (514) 523-1799
Type: Location
834 Sheridan St
Port Townsend, WA 983682443
Phone: (360) 385-2200
Type: Location
West Sunset Boulevard, Hollywood, Los Angeles, Los Angeles County, California, 90028-5420, United States
LOS ANGELES, CA 900275969
Phone: (323) 783-9221
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20121004000278 | I | Emergency Medicine | CA | TBD |
| I20210630002694 | I | Emergency Medicine | WA | TBD |
| I20220707002299 | I | Emergency Medicine | OR | TBD |
| I20240612000791 | I | Emergency Medicine | FL | TBD |
| I20251211003995 | I | Emergency Medicine | WY | TBD |
| I20260224001652 | I | Emergency Medicine | MO | TBD |
| I20260303003168 | I | Emergency Medicine | KS | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 48 | 47 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 38 | 36 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 24 | 23 | $0 |
Insurance plans in this area (ZIP 97814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| Emergency Medicine | NV | |
| Emergency Medicine | CA | |
| Emergency Medicine | MD | |
| Emergency Medicine | IA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | OH | |
| Emergency Medicine | OR |
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