2026 NPPES data Interventional Cardiology Physician NPI 1154311926 MD
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TERENCE ROSS, MD

Interventional Cardiology Physician in LEXINGTON, Kentucky. 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
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
97.0539/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$1.6K
29 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TERENCE ROSS, MD is a Interventional Cardiology Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 5K claims across 737 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 97.0539/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.6K across 29 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TERENCE ROSS, MD reported a CMS MIPS final score of 97.0539 out of 100, above the 83.1 national average, and filed 5,000 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

TERENCE ROSS, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/24/2005

NPI 1154311926

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

5,000 68% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

97.0539/100 13.953900000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Interventional Cardiology Physician compares to other specialties among Kentucky providers

Kentucky providers

Interventional Cardiology Physician share within Kentucky

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Kentucky

Medicare quality performance — MIPS

TERENCE ROSS, MD's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
97.0539/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 97.0539/100 vs national avg 83.1

0%100%National avg83%97.1%
MIPS final score (Interventional Cardiology Physician) — 97.0539/100 vs national avg 83.1

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 is a Interventional Cardiology Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1154311926. 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.

TERENCE ROSS, MD appears in the CMS NPPES registry as a 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. 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 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. 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 97.0539/100 for the 2023 performance year (Quality 95.189), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 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

100 N EAGLE CREEK DR
LEXINGTON, KY 40509

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%
Specialty average (est.)

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.

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.

3,382
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.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

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 97.0539/100 (Quality: 95.189). 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 3,382 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

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