NPPES file of Aug 9, 2026

Richard John Cross, MD

Nephrology Physician · Saint Clair Shores, MI

Richard John Cross, MD is a nephrology physician with a practice address in Saint Clair Shores, Michigan, and NPI 1972771061, issued on Feb 12, 2008. Check the license (Michigan 4301086082, as entered in NPPES) on the Michigan Board of Medicine (LARA); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1972771061
Name
Richard John Cross
Credential
MD
Primary taxonomy
Nephrology Physician 207RN0300X
License number
4301086082 MI
Self-reported in NPPES; status is on the state search
Practice location
29001 Harper Ave, Saint Clair Shores, MI 48081
Phone
(586) 778-0664
Enumerated
Feb 12, 2008
Record last updated
Feb 8, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(586) 778-0396
Medicare enrollment
Enrolled (PECOS I20080613000492); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 29001 Harper Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Faten Ayyoub, MDNephrology Physician1881650760
  2. Caitlin Kelly, AG-ACNPAcute Care Nurse Practitioner1629581970
  3. Jennifer Odren, D.O.Nephrology Physician1821384249
  4. Blessing Okoronkwo, M.D.Nephrology Physician1720298136
  5. Chand SheoranFamily Nurse Practitioner1124646476

Verify Richard John Cross in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMichigan Board of Medicine (LARA)
    Search for license 4301086082
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Michigan license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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23% more Medicare Part D claims than the average nephrology physician in 2024

1,806 Medicare Part D claims for 361 beneficiaries, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D.

  1. Richard Cross1,806
  2. Specialty average1,465

Most prescribed

  1. Bumetanide212 claims
  2. Calcitriol178 claims
  3. Carvedilol177 claims
  4. Losartan Potassium145 claims
  5. Furosemide97 claims
  6. Hydralazine Hcl87 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 96.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score87.6
  2. Costout of 100 · 30%78.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $22,230.52

42 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Richard Cross$22,231
  2. Specialty average$3,091

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Kidney And Vascular Associates PCUtica, MI
  2. Riverview Lifeline Center PLLCDetroit, MI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Richard John Cross among 376 nephrology physician records in Michigan

Richard John Cross, MD is one of 376 nephrology physician records with a practice address in Michigan. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 64% of them.

  • NPI issued2008 · 64% of these records are older, 29% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 74% of these records are
  • Graduated2005 · median 2001 among the 279 with a school on file
  • Record last updated2016 · 59% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nephrology Physician providers in Michigan

There are 376 nephrology physician records in Michigan.

The 8 nephrology physician records with the nearest ZIP codes

  1. Faten Ayyoub, MDSaint Clair Shores, MI 480811881650760
  2. Jennifer Odren, D.O.Saint Clair Shores, MI 480811821384249
  3. Blessing Okoronkwo, M.D.Saint Clair Shores, MI 480811720298136
  4. Nayna Nagrecha, MDSaint Clair Shores, MI 480801548254899
  5. Gampala Reddy, M.D.Troy, MI 480841396768214
  6. Lawrence Greenberg, D.O.Troy, MI 480851568459196
  7. Fawaz Al-Ejel, MDSouthfield, MI 480751871567651
  8. Ali Ashtari, M.D.Southfield, MI 480751477522423

Common questions

What is Richard John Cross, MD's NPI number?

Richard John Cross, MD's National Provider Identifier (NPI) is 1972771061, issued on Feb 12, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Richard John Cross, MD located?

The NPPES record lists a practice address at 29001 Harper Ave, Saint Clair Shores, MI, 48081. Phone: (586) 778-0664. Providers update this record themselves, so call before visiting.

How can I verify Richard John Cross, MD's license?

NPPES lists Michigan license number 4301086082, as entered by the provider. Search the Michigan Board of Medicine (LARA) at https://aca-prod.accela.com/MILARA/GeneralProperty/PropertyLookUp.aspx?isLicensee=Y&TabName=APO. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Richard John Cross, MD prescribe under Medicare Part D?

In 2024, Richard John Cross, MD had 1,806 Medicare Part D claims for 361 beneficiaries; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.

What is Richard John Cross, MD's MIPS final score?

The 2023 MIPS final score is 96.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.