2026 NPPES data Nephrology Physician NPI 1255359774 MD
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WILLIE ROSS, MD

Nephrology Physician in SAINT LOUIS, Missouri. 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
235
Medicare Part D claims · 55 beneficiaries · Nephrology Physician avg: 1K
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
What the federal data reveals: WILLIE ROSS, MD is a Nephrology Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 235 claims across 55 beneficiaries . Their CMS MIPS Final Score of 79.292/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: WILLIE ROSS, MD reported a CMS MIPS final score of 79.292 out of 100, below the 83.1 national average, and filed 235 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)

WILLIE 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).

WILLIE ROSS, MD at a glance

Near national average

NPI registry status

Active

Issued 07/17/2006

NPI 1255359774

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

235 84% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Nephrology Physician compares to other specialties among Missouri providers

Missouri providers

Nephrology Physician share within Missouri

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Missouri

Medicare quality performance — MIPS

WILLIE ROSS, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Nephrology Physician) — 79.292/100 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).

WILLIE ROSS, MD is a Nephrology Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255359774. 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.

WILLIE ROSS, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110, with a listed phone of (314) 362-7603. NPI 1255359774 was issued on 07/17/2006. 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 235 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $5K 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 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

4921 PARKVIEW PL
SAINT LOUIS, MO 63110

Provider Details

NPI 1255359774
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 07/17/2006

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIE 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.

WASHINGTON UNIVERSITY
SAINT LOUIS, MO

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.

235
Total Claims
$5K
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
468
Total Day Supply
13,940
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
2.26
Gender Split
53% female / 47% 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
Amlodipine Besylate
48
Furosemide
34
Carvedilol
23
Losartan Potassium
18
Lisinopril
13
Chlorthalidone
12
Spironolactone
12
Hydralazine Hcl
11

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

Nephrology Physician Overview

How WILLIE ROSS, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

WILLIE ROSS, MD's 235 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Missouri

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

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIE ROSS, MD's specialty?
WILLIE ROSS, MD specializes in Nephrology Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does WILLIE ROSS, MD prescribe under Medicare Part D?
In 2023, WILLIE ROSS, MD wrote 235 Medicare Part D claims totaling $5K in drug costs for 55 beneficiaries.
What is WILLIE ROSS, MD's Medicare quality score?
WILLIE ROSS, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIE ROSS, MD located?
WILLIE ROSS, MD is located at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110. Phone: (314) 362-7603.
What is WILLIE ROSS, MD's NPI number?
WILLIE ROSS, MD's National Provider Identifier (NPI) is 1255359774, issued on 07/17/2006.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does WILLIE ROSS, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIE ROSS, MD's most frequently prescribed drugs include Amlodipine Besylate, Furosemide, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIE ROSS, MD accept Medicare?
WILLIE ROSS, MD appears in CMS Medicare data with 235 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIE ROSS, MD's credentials?
WILLIE ROSS, MD's NPI is 1255359774 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