SANDRA ROSS, NP-C
Pediatric Nurse Practitioner in INWOOD, West Virginia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: SANDRA ROSS, NP-C reported a CMS MIPS final score of 94.1061 out of 100, above the 83.1 national average, and filed 294 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
SANDRA ROSS, NP-C at a glance
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in West Virginia
How Pediatric Nurse Practitioner compares to other specialties among West Virginia providers
Pediatric Nurse Practitioner share within West Virginia
Pediatric Nurse Practitioner is one of the more visible NUCC categories in West Virginia
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
SANDRA ROSS, NP-C's 2023 MIPS final score plotted against the Pediatric Nurse Practitioner national average
- MIPS Final Score
- 94.1061/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Nurse Practitioner) — 94.1061/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Pediatric Nurse Practitioner US NPIs
94.1061/100 MIPS final score — 11.0 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Pediatric Nurse Practitioner. Quality dim: 78.4655.
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).
SANDRA ROSS, NP-C is a Pediatric Nurse Practitioner provider practicing in INWOOD, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: NP-C. NPI: 1679911143. 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.
SANDRA ROSS, NP-C appears in the CMS NPPES registry as a Pediatric Nurse Practitioner provider holding NP-C credentials at 5047 GERRARDSTOWN RD STE 2A, INWOOD, WV, 25428, with a listed phone of (304) 229-2273. NPI 1679911143 was issued on 06/06/2013. 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 294 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $4K 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 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.
Pediatric Nurse Practitioner is a mid-sized specialty nationwide, with 21,082 enrolled providers across 52 states and an average of 312 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 | 1679911143 |
|---|---|
| Specialty | Pediatric Nurse Practitioner |
| Credentials | NP-C |
| Gender | Female |
| NPI Issued | 06/06/2013 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm SANDRA ROSS, NP-C's current license status, disciplinary history, and board certifications with the West Virginia Board of Medicine in West Virginia before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where SANDRA ROSS, NP-C 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 295
- Total Day Supply
- 3,113
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 133
Patient Demographics
- Average Patient Age
- 71.4 years
- Avg HCC Risk Score
- 1.17
- Gender Split
- 72% female / 28% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Prednisone | 43 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 37 |
| Doxycycline Hyclate | 32 |
| Cephalexin | 26 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 23 |
| Mupirocin | 12 |
| Cefdinir | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Nurse Practitioner Overview
How SANDRA ROSS, NP-C fits within the Pediatric Nurse Practitioner landscape nationally.
SANDRA ROSS, NP-C's 294 claims are below the specialty average of 312.
Nearby Pediatric Nurse Practitioner Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as ROSS.
Compare Pediatric Nurse Practitioner nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore West Virginia
Frequently Asked Questions
What is SANDRA ROSS, NP-C's specialty? ▼
How much does SANDRA ROSS, NP-C prescribe under Medicare Part D? ▼
What is SANDRA ROSS, NP-C's Medicare quality score? ▼
Where is SANDRA ROSS, NP-C located? ▼
What is SANDRA ROSS, NP-C's NPI number? ▼
How many Pediatric Nurse Practitioner providers are there in the US? ▼
What drugs does SANDRA ROSS, NP-C prescribe most often? ▼
Does SANDRA ROSS, NP-C accept Medicare? ▼
How can I verify SANDRA ROSS, NP-C's credentials? ▼
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