2026 NPPES data Nephrology Physician NPI 1972771061 MD
Verify on CMS →

RICHARD CROSS, MD

Nephrology Physician in SAINT CLAIR SHORES, Michigan. 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
2K
Medicare Part D claims · 361 beneficiaries · Nephrology Physician avg: 1K
MIPS score
96.7571/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$22.2K
42 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICHARD CROSS, MD is a Nephrology Physician ([object Object]) practicing in SAINT CLAIR SHORES, Michigan with a Medicare Part D prescribing footprint of 2K claims across 361 beneficiaries . Their CMS MIPS Final Score of 96.7571/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $22.2K across 42 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICHARD CROSS, MD reported a CMS MIPS final score of 96.7571 out of 100, above the 83.1 national average, and filed 1,946 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RICHARD CROSS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RICHARD CROSS, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 02/12/2008

NPI 1972771061

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,946 34% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

96.7571/100 13.6571% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Michigan

How Nephrology Physician compares to other specialties among Michigan providers

Michigan providers

Nephrology Physician share within Michigan

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Michigan

Medicare quality performance — MIPS

RICHARD CROSS, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
96.7571/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 96.7571/100 vs national avg 83.1

0%100%National avg83%96.8%
MIPS final score (Nephrology Physician) — 96.7571/100 vs national avg 83.1

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).

RICHARD CROSS, MD is a Nephrology Physician provider practicing in SAINT CLAIR SHORES, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972771061. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RICHARD CROSS, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 29001 HARPER AVE, SAINT CLAIR SHORES, MI, 48081, with a listed phone of (586) 778-0664. NPI 1972771061 was issued on 02/12/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CROSS 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 1,946 prescription claims written by this provider, covering 361 Medicare beneficiaries and totaling roughly $389K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.7571/100 for the 2023 performance year (Quality 87.6223, Cost 78.047), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

29001 HARPER AVE
SAINT CLAIR SHORES, MI 48081

Provider Details

NPI 1972771061
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 02/12/2008

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.7571
Final Score
Avg: 83.1
87.6223
Quality
78.047
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RICHARD CROSS, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

KIDNEY AND VASCULAR ASSOCIATES PC
UTICA, MI
RIVERVIEW LIFELINE CENTER PLLC
DETROIT, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for RICHARD CROSS, MD. Source: openpaymentsdata.cms.gov.

Total received

$22.2K

Largest payer

Lilly USA, LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to RICHARD CROSS, MD. To verify RICHARD CROSS, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

1,946
Total Claims
$389K
Total Drug Cost
361
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,878
Total Day Supply
144,945
Generic Drug Cost
$73K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
3.09
Gender Split
54% female / 46% male
Age Distribution
<65: 44, 65-74: 127, 75-84: 142, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Bumetanide
261
Losartan Potassium
191
Calcitriol
182
Carvedilol
163
Hydralazine Hcl
149
Furosemide
94
Lisinopril
71
Allopurinol
55
Nifedipine Er
Nifedipine
43
Terazosin Hcl
37

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

Nephrology Physician Overview

How RICHARD CROSS, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

RICHARD CROSS, MD's 1,946 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as CROSS.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD CROSS, MD's specialty?
RICHARD CROSS, MD specializes in Nephrology Physician and practices in SAINT CLAIR SHORES, Michigan. Credentials: MD.
How much does RICHARD CROSS, MD prescribe under Medicare Part D?
In 2023, RICHARD CROSS, MD wrote 1,946 Medicare Part D claims totaling $389K in drug costs for 361 beneficiaries.
What is RICHARD CROSS, MD's Medicare quality score?
RICHARD CROSS, MD has a CMS MIPS Final Score of 96.7571/100 (Quality: 87.6223, Cost: 78.047). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD CROSS, MD located?
RICHARD CROSS, MD is located at 29001 HARPER AVE, SAINT CLAIR SHORES, MI, 48081. Phone: (586) 778-0664.
What is RICHARD CROSS, MD's NPI number?
RICHARD CROSS, MD's National Provider Identifier (NPI) is 1972771061, issued on 02/12/2008.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does RICHARD CROSS, MD prescribe most often?
Based on 2023 Medicare Part D data, RICHARD CROSS, MD's most frequently prescribed drugs include Bumetanide, Losartan Potassium, Calcitriol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD CROSS, MD accept Medicare?
RICHARD CROSS, MD appears in CMS Medicare data with 1,946 Part D claims and 361 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD CROSS, MD's credentials?
RICHARD CROSS, MD's NPI is 1972771061 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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