DR. JUDY D ROSS MD
NPI 1245226315
Specialist in Pittsburgh, PA

NPI Status: Active since September 23, 2005

Contact Information

1050 BOWER HILL RD
205
PITTSBURGH, PA
ZIP 15243
Phone: (412) 572-6184
Fax: (412) 572-6586

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  • Individual
  • Female
  • Years of Experience 34
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JUDY ROSS

This page provides the complete NPI Profile along with additional information for Judy Ross, a provider established in Pittsburgh, Pennsylvania with a medical specialization in Specialist and more than 34 years of experience. She graduated from University Of Pittsburgh School Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1245226315 assigned on September 2005. The practitioner's primary taxonomy code is 174400000X with license number MD417419 (PA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1245226315
Provider Name
DR. JUDY D ROSS MD
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
1050 BOWER HILL RD 205 PITTSBURGH, PA 15243
Location Phone
(412) 572-6184
Location Fax
(412) 572-6586
Mailing Address
1050 BOWER HILL RD 205 PITTSBURGH, PA 15243
Mailing Phone
(412) 572-6184
Mailing Fax
(412) 572-6586
Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
09-23-2005
Last Update Date
12-15-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MD417419
License State
PA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G63924MEDICARE UPIN (02) 
053571MEDICARE ID-TYPE UNSPECIFIED (04)PA 
0018645520001MEDICAID (05)PA 

Medicare Participation & PECOS Enrollment Status

Judy Ross is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Judy Ross is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 143233197

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20060728000085

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA023N)

    Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing (HCPCS:A6196)

    3 DME suppliers used 17 Medicare Claims 289 Services Paid

  • DME-Medical/Surgical Supplies (DA023N)

    Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard (HCPCS:A6446)

    4 DME suppliers used 22 Medicare Claims 1472 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Application of chemical to stop tissue regrowth in wound

This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.

This service was performed 53 times for 22 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 164 times for 63 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 80 times for 43 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 45 times for 45 patients

Removal of skin and tissue, 20.0 sq cm or less

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

This service was performed 214 times for 47 patients

Removal of skin and tissue, each additional 20.0 sq cm or less

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

This service was performed 102 times for 12 patients

Reviews for DR. JUDY D ROSS MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245226315
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285421232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 2 + 1 + 2 + 3 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1245226315 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942205562G.I. SPECIALISTS, INC.
Organization
Internal Medicine (Gastroenterology)1050 BOWER HILL RD STE 305
PITTSBURGH, PA 15243
(412) 572-6951
1720087166DR. ARNOLD J SHOLDER MD
Individual
Specialist1050 BOWER HILL RD
PITTSBURGH, PA 15243
(412) 572-6794
1447246723DR. HARRY E SERENE
Individual
Specialist1050 BOWER HILL RD 205
PITTSBURGH, PA 15243
(412) 572-6184
1386625655 RICHARD B RUSSMAN MD
Individual
Internal Medicine (Cardiovascular Disease)1050 BOWER HILL RD SUITE 308
PITTSBURGH, PA 15243
(412) 344-4767
1639134851PERRI SURGICAL ASSOCIATES PC
Organization
Surgery1050 BOWER HILL RD SUITE 302
PITTSBURGH, PA 15243
(412) 942-5660
1295792455 DONALD KUSHNER M.D.
Individual
Internal Medicine1050 BOWER HILL RD SUITE 202
PITTSBURGH, PA 15243
(412) 572-6122
1508894668 GEORGE TCHIRKOW MD
Individual
Colon & Rectal Surgery1050 BOWER HILL RD SUITE 208
PITTSBURGH, PA 15243
(412) 572-6192
1649339078SOUTH HILLS CARDIOLOGY ASSOCIATES
Organization
Internal Medicine (Cardiovascular Disease)1050 BOWER HILL RD SUITE 308
PITTSBURGH, PA 15243
(412) 344-4767
1265623334PRABHU PRIMARY CARE, P.C.
Organization
Clinic/Center1050 BOWER HILL RD SUITE 301
PITTSBURGH, PA 15243
(412) 531-7330
1447426747 KUTUB M SAIFEE M.D.
Individual
Surgery (Vascular Surgery)1050 BOWER HILL RD SUITE 204
PITTSBURGH, PA 15243
(412) 572-6129
1588818231DIET AT WORK LLC
Organization
Dietitian, Registered1050 BOWER HILL RD
PITTSBURGH, PA 15243
(412) 956-9337
1851613806AJ CARVELLI MD & ASSOCIATES PC
Organization
Pain Medicine (Pain Medicine)1050 BOWER HILL RD
PITTSBURGH, PA 15243
(412) 942-5740
1508177916HORACIO A SPINA MD
Organization
Psychiatric Unit1050 BOWER HILL RD SUITE 303
PITTSBURGH, PA 15243
(412) 561-5775
1548553977 JEAN M WATKINSON PA-C
Individual
Physician Assistant (Medical)1050 BOWER HILL RD SUITE 202
PITTSBURGH, PA 15243
(412) 572-6122
1699756148 JEFFREY M FRIEDEL MD
Individual
Internal Medicine (Cardiovascular Disease)1050 BOWER HILL RD SUITE 308
PITTSBURGH, PA 15243
(412) 344-4767
1598757858SOUTH HILLS PULMONARY ASSOCIATES
Organization
Internal Medicine (Pulmonary Disease)1050 BOWER HILL RD SUITE 306
PITTSBURGH, PA 15243
(412) 572-6168
1003872813DR. JEFFREY ALLEN PERRI M.D.
Individual
Surgery1050 BOWER HILL RD SUITE 302
PITTSBURGH, PA 15243
(412) 942-5660
1023060779PLASTIC SURGICAL ASSOCIATES OF PITTSBURGH, P.C.
Organization
Plastic Surgery1050 BOWER HILL RD SUITE 105
PITTSBURGH, PA 15243
(412) 572-6164
1982750238DR. MICHAEL EDWARD LALLY M.D.
Individual
Surgery (Vascular Surgery)1050 BOWER HILL RD SUITE 309
PITTSBURGH, PA 15243
(412) 207-2632
1194861146DR. SAMUEL THOMAS SIMONE JR. M.D.
Individual
Surgery (Vascular Surgery)1050 BOWER HILL RD SUITE309
PITTSBURGH, PA 15243
(412) 207-2632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245226315, enumerated in the NPI registry as an "individual" on September 23, 2005

The provider is located at 1050 Bower Hill Rd 205 Pittsburgh, Pa 15243 and the phone number is (412) 572-6184

The provider's speciality is Specialist with taxonomy code 174400000X

The provider has more than 34 years of experience. She graduated from University Of Pittsburgh School Of Medicine in 1992.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Application of chemical to stop tissue regrowth in wound, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 45-59 minutes, Removal of skin and tissue, 20.0 sq cm or less and Removal of skin and tissue, each additional 20.0 sq cm or less.

This NPI record was last updated on September 23, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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