DOUGLAS ROTHKOPF, M.D.
Plastic and Reconstructive Surgery Physician · WORCESTER, MA
Individual Active NPI 1578547600
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 264 | 471 | $435,038 | $90,384 | $68,570 |
| 2023 | 289 | 505 | $519,036 | $106,985 | $83,566 |
| 2022 | 221 | 421 | $440,514 | $89,856 | $70,956 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 155 | $65 | $46 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 78 | $80 | $57 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | $129 | $92 |
| 26055 | Incision of tendon covering of finger | 18 | $285 | $202 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | $171 | $129 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 18 | $49 | $39 |
| 25609 | Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device | 17 | $1,029 | $819 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ✓ | 57647 | MA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Plastic and Reconstructive Surgery Physician providers in Massachusetts
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See all Plastic and Reconstructive Surgery Physician providers in Massachusetts →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.