Ross Merkin, MD
NPI 1295181998 · Medical Oncology Physician · Boston, MA
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ross Merkin, MD is a Medical Oncology Physician provider in Boston, MA (NPI 1295181998).
Provider details
- NPI number
- 1295181998
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1015276 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
454 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 148 | $152 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 99 | $17 |
| Prolonged Office Or Other Outpatient Evaluation and Management Service(s) Beyond the Maximum Required Time of the Primary Procedure Which Has Been Selected Using Total Time on the Date of the Primary Service; Each Additional 15 Minutes By the Physician OrG2212 | 81 | $33 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 57 | $124 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 20 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$86 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 75 Francis StBoston, MA 02115-6106Phone: (617) 732-5500
Registry dates
- Enumerated
- 2016-05-11
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Ross Merkin's NPI number?
- Ross Merkin's National Provider Identifier (NPI) is 1295181998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ross Merkin's specialty?
- Ross Merkin is listed in the NPPES registry with a primary specialty of Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Ross Merkin located?
- Ross Merkin's practice location on file with NPPES is 55 Fruit St, Boston, MA 02114-2696.
- What is Ross Merkin's phone number?
- The practice phone number listed in the NPPES registry for Ross Merkin is (617) 726-5130.
- Does Ross Merkin accept Medicare?
- Ross Merkin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ross Merkin's NPI active?
- Yes — Ross Merkin's NPI (1295181998) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.