NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1053493569 MD
Verify on CMS → Robert Cross, MD
Hospitalist Physician in Gloucester, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,825 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
191
Medicare Part D claims · 21 beneficiaries · Hospitalist Physician avg: 888
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Robert Cross, MD reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 191 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 191
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Robert Cross, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Robert Cross, MD sits
This provider among hospitalist physician peers
Across the 4,437 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Cross, MD writes more Part D claims than 39% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Robert Cross, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Robert Cross, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Robert Cross, MD?
High performer (top quartile)Primary specialty
Hospitalist Physician
Medicare Part D claims
191 78% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in Virginia
How Hospitalist Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Robert Cross, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hospitalist Physician) - 94.1/100 vs national avg 83.1
How MIPS and board certification work
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).
Robert Cross, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 7519 HOSPITAL DR, Gloucester, VA, 23061, with a listed phone of (804) 693-8800. NPI 1053493569 was issued on 10/20/2006.
Medicare Part D records for calendar year 2023 show 191 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $18K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 90.7), compared with the national average of 83.1.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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
Provider Details
| NPI | 1053493569 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/20/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability
Reporting: Alternative Payment Model
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
191
Total Claims
$18K
Total Drug Cost
21
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 217
- Total Day Supply
- 5,719
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 80.4 years
- Avg HCC Risk Score
- 1.44
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robert Cross, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
19 claims
- Eliquis
Eliquis
18 claims
- Escitalopram Oxalate
Escitalopram Oxalate
16 claims
- Flecainide Acetate
Flecainide Acetate
11 claims
- Spironolactone
Spironolactone
11 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 19 |
| Eliquis Apixaban | 18 |
| Escitalopram Oxalate | 16 |
| Flecainide Acetate | 11 |
| Spironolactone | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Robert Cross, MD fits within the Hospitalist Physician landscape nationally.
16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Robert Cross, MD's 191 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Cross.
Dr. Ramy Abdelfattah
M.D.
Fredericksburg, VA
Dr. Abdallah Abdelrazeq
M.D
Charlottesville, VA
Dr. Mohammed Abdulghani
MD
Tappahannock, VA
Dr. Mohammad Abolhassani
M.D.
Norfolk, VA
Dr. Christopher Achilli
MD
Richmond, VA
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Robert Cross, MD's specialty? ▼
Robert Cross, MD specializes in Hospitalist Physician and practices in Gloucester, Virginia. Credentials: MD.
How much does Robert Cross, MD prescribe under Medicare Part D? ▼
In 2023, Robert Cross, MD wrote 191 Medicare Part D claims totaling $18K in drug costs for 21 beneficiaries.
What is Robert Cross, MD's Medicare quality score? ▼
Robert Cross, MD has a CMS MIPS Final Score of 94.1/100 (Quality: 90.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Cross, MD located? ▼
Robert Cross, MD is located at 7519 HOSPITAL DR, Gloucester, VA, 23061. Phone: (804) 693-8800.
What is Robert Cross, MD's NPI number? ▼
Robert Cross, MD's National Provider Identifier (NPI) is 1053493569, issued on 10/20/2006.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Robert Cross, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Robert Cross, MD's most frequently prescribed drugs include Levothyroxine Sodium, Eliquis, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Cross, MD accept Medicare? ▼
Robert Cross, MD appears in CMS Medicare data with 191 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Cross, MD's credentials? ▼
Robert Cross, MD's NPI is 1053493569 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.