NPIMap

Individual provider Active NPI

Jeremy Michael Ross, M.D.

  • Family Medicine Physician
  • Muskogee, OK
National Provider Identifier
1063890697
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31424 Issued in OK
Practice address
329 S 38TH St
Muskogee, OK 74401-4945
Phone
(918) 687-9999
Fax
(918) 686-7078
NPI assigned
May 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31424 OK Primary

Addresses

Primary practice location

329 S 38TH St
Muskogee, OK 74401-4945

Mailing address

329 S 38TH St
Muskogee, OK 74401-4945
Phone (918) 687-9999

Other identifiers 1

IdentifierTypeStateIssuer
200595230MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723001327 OK Practitioner - Family Practice 9032410071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

329 S 38TH St
Muskogee, OK 74401-4945
Phone 91868799993

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.59 of 100Reported as individual
Quality
81.97
Improvement activities
40
Cost
62.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions12
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31424OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremy Ross MD PLLC CurrentSince Sep 10, 2018 Accepting new patients
Northland Orthopedics & Sports Medicine, LLC Past Accepting new patients
Saint Francis Hospital Muskogee Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

329 S 38th St
Muskogee, OK 74401
Phone (918) 682-2181

333 S 38th St
Ste A
Muskogee, OK 74401
Phone (918) 682-8631

Interoperability endpoints

  • Direct secure messaging: jeremy.ross@jeremyrossmd.directbygreenway.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1063890697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 S 38TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014945",
            "telephone_number": "918-687-9999",
            "fax_number": "918-686-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S 38TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014945",
            "telephone_number": "918-687-9999",
            "fax_number": "918-686-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-14",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "31424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200595230",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.