2026 NPPES data Hematology (Internal Medicine) Physician NPI 1295181998 MD
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ROSS MERKIN, MD

Hematology (Internal Medicine) Physician in BOSTON, Massachusetts. 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
28
Medicare Part D claims · 17 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Industry payments
$86.33
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROSS MERKIN, MD is a Hematology (Internal Medicine) Physician ([object Object]) practicing in BOSTON, Massachusetts with a Medicare Part D prescribing footprint of 28 claims across 17 beneficiaries . Industry payments of $86.33 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROSS MERKIN, MD filed 28 Medicare Part D claims in 2023 across BOSTON, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROSS MERKIN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ROSS MERKIN, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/11/2016

NPI 1295181998

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

28 96% vs specialty avg

2023 prescription claims

Specialty avg: 693

Specialty distribution in Massachusetts

How Hematology (Internal Medicine) Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Hematology (Internal Medicine) Physician share within Massachusetts

1. Hematology (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology (Internal Medicine) Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Hematology (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hematology (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Hematology (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hematology (Internal Medicine) 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).

ROSS MERKIN, MD is a Hematology (Internal Medicine) Physician provider practicing in BOSTON, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1295181998. 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.

ROSS MERKIN, MD appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding MD credentials at 55 FRUIT ST, BOSTON, MA, 02114, with a listed phone of (617) 726-5130. NPI 1295181998 was issued on 05/11/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERKIN 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 28 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $2K 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.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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

55 FRUIT ST
BOSTON, MA 02114

Provider Details

NPI 1295181998
Specialty Hematology (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 05/11/2016

Hospital and facility affiliations

Facilities where ROSS MERKIN, 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.

MASSACHUSETTS EYE AND EAR ASSOCIATES, INC
BOSTON, MA
MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC
BOSTON, MA
THE GENERAL HOSPITAL CORPORATION
BOSTON, MA

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 ROSS MERKIN, MD. Source: openpaymentsdata.cms.gov.

Total received

$86

Largest payer

Tempus AI, Inc

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to ROSS MERKIN, MD. To verify ROSS MERKIN, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts 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.

28
Total Claims
$2K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
33
Total Day Supply
703
Generic Drug Cost
$694

Patient Demographics

Average Patient Age
68.4 years
Avg HCC Risk Score
2.68

Hematology (Internal Medicine) Physician Overview

How ROSS MERKIN, MD fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

ROSS MERKIN, MD's 28 claims are below the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Massachusetts

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

Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROSS MERKIN, MD's specialty?
ROSS MERKIN, MD specializes in Hematology (Internal Medicine) Physician and practices in BOSTON, Massachusetts. Credentials: MD.
How much does ROSS MERKIN, MD prescribe under Medicare Part D?
In 2023, ROSS MERKIN, MD wrote 28 Medicare Part D claims totaling $2K in drug costs for 17 beneficiaries.
Where is ROSS MERKIN, MD located?
ROSS MERKIN, MD is located at 55 FRUIT ST, BOSTON, MA, 02114. Phone: (617) 726-5130.
What is ROSS MERKIN, MD's NPI number?
ROSS MERKIN, MD's National Provider Identifier (NPI) is 1295181998, issued on 05/11/2016.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
Does ROSS MERKIN, MD accept Medicare?
ROSS MERKIN, MD appears in CMS Medicare data with 28 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROSS MERKIN, MD's credentials?
ROSS MERKIN, MD's NPI is 1295181998 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