Individual provider Active NPI

Mark J Ross, M.D.

  • Ophthalmology Physician
  • Florence, SC
National Provider Identifier
1508869090
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11764 Issued in SC
Practice address
367 W Evans St
Florence, SC 29501-3429
Phone
(843) 669-4156
Fax
(843) 664-2121
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11764 SC Primary

Addresses

Primary practice location

367 W Evans St
Florence, SC 29501-3429

Mailing address

367 W Evans St
Florence, SC 29501-3429
Phone (843) 669-4156

Other identifiers 8

IdentifierTypeStateIssuer
4254796OtherSCAETNA
9624212OtherSCGHI
276873OtherSCPRIVATE HEALTHCARE SYSTEM
890602CMedicaidNC
621812OtherSCSELECT HEALTH
AT6689MedicaidSC
180012103OtherSCRAILROAD MEDICARE
S327574OtherSCCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mross@stokeseye.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110510000301 SC Practitioner - Ophthalmology 0648393181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stokes Regional Eye CentersGroup PAC ID 0345143186, 7 clinicians

Practice addresses (Care Compare)

365 W Wesmark Blvd
Sumter, SC 29150-1987
Phone 8436694156312

Hospital & facility affiliations

  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery363

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11764SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stokes Regional Eye Centers Ophthalmology CurrentSince Oct 19, 1996 Accepting new patients
Stokes Regional Eye Center Ophthalmology CurrentSince Oct 19, 1996 Accepting new patients

Locations

8028 Myrtle Trace Dr
Conway, SC 29526
Phone (843) 347-7236

367 W Evans St
Florence, SC 29501
Phone (843) 669-4156

602 E Cheves St
Florence, SC 29506
Phone (803) 464-0497

115 N Matthews Rd
Lake City, SC 29560
Phone (843) 394-1627

365 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 905-8047

Interoperability endpoints

  • Direct secure messaging: mross@stokeseye.intellechartdirect.net
  • Direct secure messaging: mross24240@directmcleodehealth.org

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1508869090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 W EVANS ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013429",
            "telephone_number": "843-669-4156",
            "fax_number": "843-664-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARK",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "11764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4254796",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "9624212",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "276873",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890602C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "621812",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AT6689",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180012103",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "S327574",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mross@stokeseye.intellechartdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "367 W Evans St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295013429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.