2026 NPPES data Pediatric Gastroenterology Physician NPI 1629016407 MD
Verify on CMS →

ALBERT ROSS, MD

Pediatric Gastroenterology Physician in PROVIDENCE, Rhode Island. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
24
Medicare Part D claims · Pediatric Gastroenterology Physician avg: 69

What the federal data shows

ALBERT ROSS, MD filed 24 Medicare Part D claims in 2023 as a Pediatric Gastroenterology Physician in PROVIDENCE, Rhode Island.

24
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ALBERT ROSS, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

24 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

ALBERT ROSS, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ALBERT ROSS, MD?

Quality data not reported

NPI registry status

Active

Issued 06/03/2006

NPI 1629016407

Primary specialty

Pediatric Gastroenterology Physician

Niche

1,587 US NPIs in this specialty

Medicare Part D claims

24 65% vs specialty avg

2023 prescription claims

Specialty avg: 69

Specialty distribution in Rhode Island

How Pediatric Gastroenterology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Pediatric Gastroenterology Physician share within Rhode Island

1. Pediatric Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Gastroenterology Physician share within Rhode Island

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ALBERT ROSS, MD appears in the CMS NPPES registry as a Pediatric Gastroenterology Physician provider holding MD credentials at 593 EDDY ST, PROVIDENCE, RI, 02903, with a listed phone of (401) 444-8306. NPI 1629016407 was issued on 06/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROSS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 24 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Gastroenterology Physician is a narrow specialty nationwide, with 1,587 enrolled providers across 50 states and an average of 69 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

593 EDDY ST
PROVIDENCE, RI 02903

Provider Details

NPI 1629016407
Specialty Pediatric Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 06/03/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

24
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
26
Total Day Supply
774
Brand Drug Cost
$0
Generic Drug Cost
$1K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
23.5 years
Avg HCC Risk Score
0.58

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Omeprazole
13
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Gastroenterology Physician Overview

How ALBERT ROSS, MD fits within the Pediatric Gastroenterology Physician landscape nationally.

1,587
Pediatric Gastroenterology Physician Providers in US
50
States with Pediatric Gastroenterology Physician
69
Avg Claims per Provider

ALBERT ROSS, MD's 24 claims are below the specialty average of 69.

Nearby Pediatric Gastroenterology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as ROSS.

Compare Pediatric Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALBERT ROSS, MD's specialty?
ALBERT ROSS, MD specializes in Pediatric Gastroenterology Physician and practices in PROVIDENCE, Rhode Island. Credentials: MD.
How much does ALBERT ROSS, MD prescribe under Medicare Part D?
In 2023, ALBERT ROSS, MD wrote 24 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
Where is ALBERT ROSS, MD located?
ALBERT ROSS, MD is located at 593 EDDY ST, PROVIDENCE, RI, 02903. Phone: (401) 444-8306.
What is ALBERT ROSS, MD's NPI number?
ALBERT ROSS, MD's National Provider Identifier (NPI) is 1629016407, issued on 06/03/2006.
How many Pediatric Gastroenterology Physician providers are there in the US?
There are 1,587 Pediatric Gastroenterology Physician providers across 50 states in the US. The average Pediatric Gastroenterology Physician provider writes 69 Medicare Part D claims per year.
What drugs does ALBERT ROSS, MD prescribe most often?
Based on 2023 Medicare Part D data, ALBERT ROSS, MD's most frequently prescribed drugs include Omeprazole, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALBERT ROSS, MD accept Medicare?
ALBERT ROSS, MD appears in CMS Medicare data with 24 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALBERT ROSS, MD's credentials?
ALBERT ROSS, MD's NPI is 1629016407 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology