NPI registry status
Active
2026 NPPES data Interventional Cardiology Physician NPI 1154311926 MD
Verify on CMS → Terence Ross, MD
Interventional Cardiology Physician in Lexington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,400 in Interventional Cardiology 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
5K
Medicare Part D claims · 737 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.1/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$1.6K
29 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Terence Ross, MD reported a CMS MIPS final score of 97.1/100 - above the 83.1 national average - and filed 5,000 Medicare Part D claims in 2023.
- 97.1/100
- MIPS score · +14 vs avg
- 5K
- Part D claims, 2023
- 75%
- generic prescribing
- 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.
Terence Ross, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 15% higher than 85% 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 Terence Ross, MD sits
This provider among interventional cardiology physician peers
Across the 1,386 interventional cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Terence Ross, MD writes more Part D claims than 75% of them and scores higher on MIPS quality than 84% - placing this provider in the high-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 interventional cardiology physician peer from a representative sample of 60; the gold marker is Terence Ross, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Terence Ross, 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 Terence Ross, MD?
High performer (top quartile)Primary specialty
Interventional Cardiology Physician
Medicare Part D claims
5,000 68% vs specialty avg
MIPS final score
97.1/100 14 pts vs avg
Specialty distribution in Kentucky
How Interventional Cardiology Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Terence Ross, MD's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average
- MIPS Final Score
- 97.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Cardiology Physician) - 97.1/100 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).
Terence Ross, MD appears in the CMS NPPES registry as an Interventional Cardiology Physician provider holding MD credentials at 100 N EAGLE CREEK DR, Lexington, KY, 40509, with a listed phone of (859) 258-5300. NPI 1154311926 was issued on 10/24/2005.
Medicare Part D records for calendar year 2023 show 5,000 prescription claims written by this provider, covering 737 Medicare beneficiaries and totaling roughly $1.7 million in drug spend, split 25% brand-name and 75% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1/100 for the 2023 performance year (Quality 95.2), compared with the national average of 83.1.
Interventional Cardiology Physician is a narrow specialty nationwide, with 3,400 enrolled providers across 53 states and an average of 2,984 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 | 1154311926 |
|---|---|
| Specialty | Interventional Cardiology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/24/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.0539
Final Score
Avg: 83.1
95.189
Quality
99
Promoting Interoperability
Reporting: Individual
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 Terence Ross, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.6K
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Above average
Terence Ross, MD - brand share 25.0%
Interventional Cardiology Physician average
25% brand-name claims vs 75% generic, on 5,000 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
5,000
Total Claims
$1.7M
Total Drug Cost
737
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 12,886
- Total Day Supply
- 382,881
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $1.6M
- Generic Drug Cost
- $145K
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 34, 65-74: 284, 75-84: 319, 85+: 100
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Terence Ross, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Eliquis
Eliquis
621 claims
- Flecainide Acetate
Flecainide Acetate
395 claims
- Metoprolol Succinate
Metoprolol Succinate
377 claims
- Lisinopril 231
Lisinopril
231 claims
- Xarelto 203
Xarelto
203 claims
- Carvedilol 185
Carvedilol
185 claims
- Spironolactone 169
Spironolactone
169 claims
- Amlodipine Besylate 166
Amlodipine Besylate
166 claims
| Drug | Claims |
|---|---|
| Eliquis Apixaban | 621 |
| Flecainide Acetate | 395 |
| Metoprolol Succinate | 377 |
| Lisinopril | 231 |
| Xarelto Rivaroxaban | 203 |
| Carvedilol | 185 |
| Spironolactone | 169 |
| Amlodipine Besylate | 166 |
| Atorvastatin Calcium | 162 |
| Furosemide | 161 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Interventional Cardiology Physician Overview
How Terence Ross, MD fits within the Interventional Cardiology Physician landscape nationally.
3,400
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider
Terence Ross, MD's 5,000 claims are above the specialty average of 2,984.
Nearby Interventional Cardiology Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Ross.
Dr. Abdolreza Agahtehrani
M.D.
Louisville, KY
Dr. Mohan Brar
MD
Edgewood, KY
Dr. Robert Cameron
M.D.
Somerset, KY
Dr. Shanker Chandiramani
M.D.
Louisville, KY
Dr. Saadeddine Dughman
MD
Edgewood, KY
Compare Interventional Cardiology 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Cardiology 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 Terence Ross, MD's specialty? ▼
Terence Ross, MD specializes in Interventional Cardiology Physician and practices in Lexington, Kentucky. Credentials: MD.
How much does Terence Ross, MD prescribe under Medicare Part D? ▼
In 2023, Terence Ross, MD wrote 5,000 Medicare Part D claims totaling $1.7M in drug costs for 737 beneficiaries.
What is Terence Ross, MD's Medicare quality score? ▼
Terence Ross, MD has a CMS MIPS Final Score of 97.1/100 (Quality: 95.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Terence Ross, MD located? ▼
Terence Ross, MD is located at 100 N EAGLE CREEK DR, Lexington, KY, 40509. Phone: (859) 258-5300.
What is Terence Ross, MD's NPI number? ▼
Terence Ross, MD's National Provider Identifier (NPI) is 1154311926, issued on 10/24/2005.
Does Terence Ross, MD prescribe more brand-name or generic drugs? ▼
Terence Ross, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $1.6M in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US? ▼
There are 3,400 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does Terence Ross, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Terence Ross, MD's most frequently prescribed drugs include Eliquis, Flecainide Acetate, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terence Ross, MD accept Medicare? ▼
Terence Ross, MD appears in CMS Medicare data with 5,000 Part D claims and 737 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terence Ross, MD's credentials? ▼
Terence Ross, MD's NPI is 1154311926 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.