Douglas Ross, MD
NPI 1518161223 · Internal Medicine Physician · Tinton Falls, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Ross, MD is a Internal Medicine Physician provider in Tinton Falls, NJ (NPI 1518161223).
Provider details
- NPI number
- 1518161223
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08410900 (NJ)
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 tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,805 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 972 | $121 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 264 | $117 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 230 | $81 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 221 | $176 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 52 | $112 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 85 | 41 |
| Atorvastatin Calcium | 81 | 31 |
| Amlodipine Besylate | 68 | 28 |
| Metoprolol Succinate | 55 | 22 |
| Losartan Potassium | 55 | 14 |
| Levothyroxine Sodium | 48 | 17 |
| Gabapentin |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-06-14
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is Douglas Ross's NPI number?
- Douglas Ross's National Provider Identifier (NPI) is 1518161223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Ross's specialty?
- Douglas Ross is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Ross located?
- Douglas Ross's practice location on file with NPPES is 35 S Gilbert St, Tinton Falls, NJ 07701-4954.
- What is Douglas Ross's phone number?
- The practice phone number listed in the NPPES registry for Douglas Ross is (732) 842-3050.
- Does Douglas Ross accept Medicare?
- Douglas Ross is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Ross's NPI active?
- Yes — Douglas Ross's NPI (1518161223) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.