2026 NPPES data General Practice Physician NPI 1528072188 MD
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THERESA ROSS, MD

General Practice Physician in MONROE, Louisiana. 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
6K
Medicare Part D claims · 350 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.3354/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$17.33
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: THERESA ROSS, MD is a General Practice Physician ([object Object]) practicing in MONROE, Louisiana with a Medicare Part D prescribing footprint of 6K claims across 350 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 78.3354/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $17.33 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: THERESA ROSS, MD reported a CMS MIPS final score of 78.3354 out of 100, below the 83.1 national average, and filed 5,884 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)

THERESA ROSS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

THERESA ROSS, MD at a glance

Near national average

NPI registry status

Active

Issued 07/28/2006

NPI 1528072188

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

5,884 105% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

78.3354/100 4.764599999999987% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Louisiana

How General Practice Physician compares to other specialties among Louisiana providers

Louisiana providers

General Practice Physician share within Louisiana

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Louisiana

Medicare quality performance — MIPS

THERESA ROSS, MD's 2023 MIPS final score plotted against the General Practice Physician national average

Near national average
MIPS Final Score
78.3354/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 78.3354/100 vs national avg 83.1

0%100%National avg83%78.3%
MIPS final score (General Practice Physician) — 78.3354/100 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).

THERESA ROSS, MD is a General Practice Physician provider practicing in MONROE, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1528072188. 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.

THERESA ROSS, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 112 SAINT JOHN ST, MONROE, LA, 71201, with a listed phone of (318) 387-5681. NPI 1528072188 was issued on 07/28/2006. 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 5,884 prescription claims written by this provider, covering 350 Medicare beneficiaries and totaling roughly $253K in drug spend, split 6% brand-name and 94% 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 78.3354/100 for the 2023 performance year (Quality 54.65), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

112 SAINT JOHN ST
MONROE, LA 71201

Provider Details

NPI 1528072188
Specialty General Practice Physician
Credentials MD
Gender Female
NPI Issued 07/28/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

78.3354
Final Score
Avg: 83.1
54.65
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THERESA ROSS, 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.

BATON ROUGE CLINIC, A MEDICAL CORPORATION
MONROE, LA

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

Total received

$17

Largest payer

Bayer Healthcare Pharmaceuticals 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.

Brand vs generic prescribing mix · Generic-heavy

THERESA ROSS, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 5,884 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.

5,884
Total Claims
$253K
Total Drug Cost
350
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,068
Total Day Supply
441,555
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$133K
Generic Drug Cost
$117K
Antibiotic Claims
264

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.25
Gender Split
77% female / 23% male
Age Distribution
<65: 15, 65-74: 181, 75-84: 125, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Losartan Potassium
287
Amlodipine Besylate
277
Omeprazole
269
Levothyroxine Sodium
240
Atorvastatin Calcium
191
Lisinopril
191
Montelukast Sodium
191
Metformin Hcl
180
Hydrochlorothiazide
165
Levocetirizine Dihydrochloride
145

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

General Practice Physician Overview

How THERESA ROSS, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

THERESA ROSS, MD's 5,884 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in Louisiana

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THERESA ROSS, MD's specialty?
THERESA ROSS, MD specializes in General Practice Physician and practices in MONROE, Louisiana. Credentials: MD.
How much does THERESA ROSS, MD prescribe under Medicare Part D?
In 2023, THERESA ROSS, MD wrote 5,884 Medicare Part D claims totaling $253K in drug costs for 350 beneficiaries.
What is THERESA ROSS, MD's Medicare quality score?
THERESA ROSS, MD has a CMS MIPS Final Score of 78.3354/100 (Quality: 54.65). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THERESA ROSS, MD located?
THERESA ROSS, MD is located at 112 SAINT JOHN ST, MONROE, LA, 71201. Phone: (318) 387-5681.
What is THERESA ROSS, MD's NPI number?
THERESA ROSS, MD's National Provider Identifier (NPI) is 1528072188, issued on 07/28/2006.
Does THERESA ROSS, MD prescribe more brand-name or generic drugs?
THERESA ROSS, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $133K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does THERESA ROSS, MD prescribe most often?
Based on 2023 Medicare Part D data, THERESA ROSS, MD's most frequently prescribed drugs include Losartan Potassium, Amlodipine Besylate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THERESA ROSS, MD accept Medicare?
THERESA ROSS, MD appears in CMS Medicare data with 5,884 Part D claims and 350 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THERESA ROSS, MD's credentials?
THERESA ROSS, MD's NPI is 1528072188 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