Tony Ross, M.D.
Obesity Medicine (Internal Medicine) Physician in Nashville, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 145 in Obesity Medicine (Internal Medicine) 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Tony Ross, M.D. reported a CMS MIPS final score of 97.1/100 - above the 83.5 national average - and filed 6,265 Medicare Part D claims in 2023.
- 97.1/100
- MIPS score · +14 vs avg
- 6K
- Part D claims, 2023
- 92%
- 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.
Tony Ross, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Tony Ross, M.D. sits
This provider among obesity medicine (internal medicine) physician peers
Across the 26 obesity medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Tony Ross, M.D. writes more Part D claims than 92% of them and scores higher on MIPS quality than 85% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one obesity medicine (internal medicine) physician peer from a representative sample of 25; the gold marker is Tony Ross, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Tony Ross, M.D. 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).
What does the federal data show about Tony Ross, M.D.?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Tennessee
How Obesity Medicine (Internal Medicine) Physician compares to other specialties among Tennessee providers
Obesity Medicine (Internal Medicine) Physician ranks #427 among Tennessee's specialties (0% of in-state providers)
Each bar is a specialty's share of the Tennessee provider total, by primary NUCC taxonomy. The highlighted bar is Obesity Medicine (Internal Medicine) Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Tony Ross, M.D.'s 2023 MIPS final score plotted against the Obesity Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 97.1/100
- vs 83.5 national avg · 2023 performance year
Quality benchmarks
- National MIPS avg 2023 measured reporting year
- Quality dim CMS Quality category
- Specialty volume Obesity Medicine (Internal Medicine) Physician US NPIs
97.1/100 MIPS final score - 13.6 pts above the 83.5 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Obesity Medicine (Internal Medicine) Physician. Quality dim: 85.6.
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).
Tony Ross, M.D. appears in the CMS NPPES registry as an Obesity Medicine (Internal Medicine) Physician provider holding M.D. credentials at 3601 THE VANDERBILT CLINIC, Nashville, TN, 37232, with a listed phone of (615) 936-2000. NPI 1215155288 was issued on 04/23/2007.
Medicare Part D records for calendar year 2023 show 6,265 prescription claims written by this provider, covering 558 Medicare beneficiaries and totaling roughly $306K in drug spend, split 7% brand-name and 92% generic by claim count, with an opioid prescribing rate of 0.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.1/100 for the 2023 performance year (Quality 85.6), compared with the 83.5 average among clinicians with a measured score.
Obesity Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 145 enrolled providers across 36 states and an average of 1,046 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 | 1215155288 |
|---|---|
| Specialty | Obesity Medicine (Internal Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/23/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Tony Ross, M.D.'s current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1215155288 is the unique 10-digit identifier CMS uses to link Ross across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
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 Tony Ross, M.D. 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).
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 Tony Ross, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$122
Largest payer
Lilly USA, LLC
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
7% brand-name claims vs 92% generic, on 6,265 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.
Prescribing Breakdown
- 30-Day Fills
- 15,617
- Total Day Supply
- 460,497
- Brand vs Generic
- 7% brand / 92% generic
- Brand Drug Cost
- $203K
- Generic Drug Cost
- $103K
- Opioid Claims
- 52 (0.8% rate)
- Antibiotic Claims
- 117
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 0.81
- Gender Split
- 35% female / 65% male
- Age Distribution
- <65: 12, 65-74: 300, 75-84: 213, 85+: 33
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tony Ross, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
732 claims
- Amlodipine Besylate
Amlodipine Besylate
475 claims
- Lisinopril
Lisinopril
327 claims
- Losartan Potassium 284
Losartan Potassium
284 claims
- Hydrochlorothiazide 233
Hydrochlorothiazide
233 claims
- Levothyroxine Sodium 211
Levothyroxine Sodium
211 claims
- Metformin Hcl 165
Metformin Hcl
165 claims
- Zolpidem Tartrate 149
Zolpidem Tartrate
149 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 732 |
| Amlodipine Besylate | 475 |
| Lisinopril | 327 |
| Losartan Potassium | 284 |
| Hydrochlorothiazide | 233 |
| Levothyroxine Sodium | 211 |
| Metformin Hcl | 165 |
| Zolpidem Tartrate | 149 |
| Simvastatin | 147 |
| Escitalopram Oxalate | 143 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Obesity Medicine (Internal Medicine) Physician Overview
How Tony Ross, M.D. fits within the Obesity Medicine (Internal Medicine) Physician landscape nationally.
Tony Ross, M.D.'s 6,265 claims are above the specialty average of 1,046.
Nationwide Obesity Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ross, both outside Tennessee so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.1 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Obesity Medicine (Internal Medicine) Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Ross.
One of 3 Obesity Medicine (Internal Medicine) Physician providers enrolled in Tennessee, 2 are shown here.
Compare Obesity Medicine (Internal Medicine) 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 Tennessee medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Obesity Medicine (Internal Medicine) 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
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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
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.
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