Scott M Ross, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

64674 Issued in WI

Practice address

18601 Lincoln St
Whitehall, WI 54773-8605

Phone

(715) 538-4361

NPI assigned

Oct 5, 2005

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, AZ, CO, WI4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Dermatology

Education

Boston University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madelia HealthGroup PAC ID 1254230816, 19 clinicians

Az Dermatology LLCGroup PAC ID 5698850543, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madelia Health Hospital, Madelia, MN, CCN 241323

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6619/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: scott.ross@adcs1.emadirect.md
• Direct secure messaging: scottross@ad.allscriptsdirect.net
• Direct secure messaging: scross@westderm.emadirect.md
• Direct secure messaging: sross1027859@direct.emplifyhealth.org

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

• Az Dermatology LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1508035411
  Medicare reassignment Care Compare group NPD
• Madelia Health

  dba Madelia Community Hospital & Clinic

  • Critical Access Hospital
  • Madelia, MN
  • NPI 1912999137
  Medicare reassignment Care Compare group NPD
• Tri-County Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Whitehall, WI
  • NPI 1417201864
  Medicare reassignment NPD
• Advanced Dermatology of Colorado, PC

  • Dermatology Physician
  • Fort Collins, CO
  • NPI 1710370648
  Medicare reassignment NPD
• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Medicare reassignment NPD
• English Dermatology PC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1245659432
  Medicare reassignment NPD
• Minnesota Medical and Rehabilitative Services, LLC

  dba Minnesota Medical and Rehabilitation

  • Physical Therapist
  • St Louis Park, MN
  • NPI 1154302545
  Medicare reassignment NPD
• Omni Dermatology Incorporated

  • Dermatology Physician
  • Glendale, AZ
  • NPI 1003082090
  Medicare reassignment NPD
• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  MN

  Medicare reassignment NPD
• Spectrum Dermatology, PLLC

  • Dermatology Physician
  • Scottsdale, AZ
  • NPI 1922392398
  Medicare reassignment NPD
• Tri-County Memorial Hospital, Inc.

  • Clinic/Center
  • Independence, WI
  • NPI 1073335642
  NPD
• Avera Marshall

  dba Avera Medical Group Carlson

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1407330301
  NPD

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

• Madelia Health

  dba Madelia Community Hospital & Clinic

  • Critical Access Hospital
  • Madelia, MN
  • NPI 1912999137
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1417944349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LINCOLN ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547738605",
            "telephone_number": "715-538-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LINCOLN ST",
            "city": "WHITEHALL",
            "state": "WI",
            "postal_code": "547738605",
            "telephone_number": "715-538-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "29881",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "64674",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "21367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130684",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Poulos
• Kelly Jean Pronschinske, PT
• Michelle K Raabe
• Alisabeth Ann Reedy, OTR/L CLT
• Carrie D Roskos, CNA
• Chris Ruder, MFT
• Michael Schwarz, PHARMD
• Mandi J Skorstad, RCT
• Cassondra Marie Solberg
• Spencer Psychology Services, LLC

• Dermatology Physician in Whitehall, WI
• Providers in Whitehall, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.