Doctor profile · Federal record

Dr. Ross Icyda, D.M.D.

Dentist (CMS: Oral Surgery) · Dentist · Dentist · Boston, MA

  • NPI 1205179421
  • Accepts Medicare
  • 15 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
165 Cambridge St, Suite 401
Boston, MA 021142783
(617) 726-1076

Credentials & registration

NPPES · NUCC
NPI registered
April 2013 — 13 yrs on file
Profile last updated
August 19, 2016
Year of graduation
2011 — 15 yrs since
Specialty taxonomy
122300000X — NUCC code
State licenses (3)
Massachusetts #DN1856767 · Oregon #D9790 · Florida #DN 19965

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1205179421. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
51
Distinct HCPCS
1
Medicare allowed
$4,489
HCPCS Description Services Patients Avg allowed
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 51 49 $88

In context: peer comparison

Among 5 peers in this city , average services per provider: 355. This provider delivers 0.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
13
Patients
12
Total drug cost
$61
Drug Type Claims Patients Total cost
Amoxicillin Generic 13 12 $61

Frequently asked questions

Auto-generated from federal data
What is Dr. Ross Icyda's medical specialty?
Dr. Ross Icyda practices Dentist in Boston, MA.
Where does Dr. Ross Icyda practice?
Dr. Ross Icyda practices at 165 Cambridge St, Boston, MA 021142783. Office phone: 6177261076.
What is Dr. Ross Icyda's NPI?
Dr. Ross Icyda's National Provider Identifier (NPI) is 1205179421, issued by NPPES.
Does Dr. Ross Icyda accept Medicare assignment?
Yes. Dr. Ross Icyda accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ross Icyda commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low level of medical decision making (HCPCS 99221). Source: CMS Medicare Physician & Other Practitioners file.