Karlene Vanessa Ross, M.D.
NPI 1518187822ActiveIndividual· Family Medicine· Waldorf, MD
Family Medicine (M.D.) in Waldorf, Maryland, trained at State University of Ny Upstate Medical University (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $270,205 for 1,626 claims, against $48,725 paid for services in 2024. Novo Nordisk Inc was the largest of 5 companies reporting payments in 2025, $168.84 in all, mostly food and beverage.
Overview
| NPI | 1518187822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 27, 2007 |
| Last updated in NPPES | Mar 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | D0066434 | MD |
| Family Medicine | 207Q00000X | 214300 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (DC); Practitioner - Family Practice (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 143 |
|---|---|
| Services billed | 869 across 29 procedure codes |
| Paid by Medicare | $48,725 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,626 · 3,867 30-day fills |
|---|---|
| Patients | 131 |
| Total drug cost | $270,205 |
| Generic share | 82% of claims |
Education and affiliations
| Medical school | State University of Ny Upstate Medical University |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Privia Care Center LLCArnold, MD · 287 clinicians
Industry payments (Open Payments)
- 2025$168.84 · 8 payments from 5 companies
- 2024$302.71 · 13 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $61.34 | 3 |
| Lilly USA, LLC | $46.88 | 2 |
| Corcept Therapeutics | $26.15 | 1 |
| Abbott Laboratories | $19.03 | 1 |
| Exact Sciences Corporation | $15.44 | 1 |
What the 2025 payments were for
- Food and Beverage$168.84 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 family medicine physicians in Waldorf · All family medicine physicians in Maryland