KEVIN BRADLEY ROTHCHILD MD NPI 1003000480
Surgery - Trauma Surgery in Aurora, CO
About KEVIN BRADLEY ROTHCHILD MD
Kevin Rothchild is a provider established in Aurora, Colorado and his medical specialization is Surgery with a focus in trauma surgery with more than 26 years of experience. He graduated from Ohio State University College Of Medicine in 1997. The NPI number of this provider is 1003000480 and was assigned on August 2007. The practitioner's primary taxonomy code is 2086S0127X with license number DR.0046091 (CO). The provider is registered as an individual and his NPI record was last updated 5 years ago.
| NPI | 1003000480 |
| Provider Name | KEVIN BRADLEY ROTHCHILD MD |
| Location Address | 12605 E 16TH AVE AURORA, CO 80045 |
| Location Phone | (303) 724-2728 |
| Mailing Address | PO BOX 110429 AURORA, CO 80042 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1997 |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-29-2007 |
| Last Update Date | 11-30-2018 |
Kevin Rothchild is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Kevin Rothchild is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with University Of Colorado Hospital Authority.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94.84, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2086S0127X |
| Classification | Surgery |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Trauma Surgery |
| License No. | DR.0046091 |
| License State | CO |
| Taxonomy Description | Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
12605 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (303) 724-2728
Fax: (303) 724-2761
Mailing Address
PO BOX 110429
AURORA, CO
ZIP 80042
Phone: (303) 493-7000
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 446348254 |
| PECOS Enrollment ID | I20071113000017 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 90.62 | |
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The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 100 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 94.84 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Rothchild is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| UNIVERSITY OF COLORADO HOSPITAL AUTHORITY | 12605 E 16TH AVE AURORA, CO 80045 | (720) 848-0000 | Acute Care Hospitals | 60024 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 46091 | CO | No | |
Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 68680805 | MEDICAID (05) | CO |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 0 | 4 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 0 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 0 + 3 + 0 + 0 + 0 + 4 + 1 + 6 + 24 = 40 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1003000480 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992701411 | ELIZABETH CERIMELE CRNA Individual | Nurse Anesthetist, Certified Registered | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1700884541 | RUTH E PARKER CNM Individual | Advanced Practice Midwife | 12605 E 16TH AVE UNIVERSITY OF COLORADO HOSPITAL AURORA, CO 80045 (720) 848-0000 |
| 1710987698 | JESSICA ANDERSON CNM Individual | Advanced Practice Midwife | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1205826120 | DR. JAMES EATON MD Individual | Radiology (Diagnostic Radiology) | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1972594190 | ERIN WELCH MD Individual | Dermatology | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1437130101 | NEKO UPSON CNM Individual | Advanced Practice Midwife | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1346222114 | DR. ANGELA M DAVIES M.D. Individual | Internal Medicine (Hematology & Oncology) | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1013993526 | MICHAEL JOBIN MD Individual | Emergency Medicine | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1740266964 | TODD GUTH MD Individual | Emergency Medicine | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1831169952 | JAVIER WAKSMAN MD Individual | Internal Medicine | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1285605535 | MONICA WAZIRI CRNA Individual | Nurse Anesthetist, Certified Registered | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1215903174 | KENNETH TYLER MD Individual | Psychiatry & Neurology (Clinical Neurophysiology) | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1831166701 | DANIEL MERRICK MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1730157942 | DONNA LILLY CRNA Individual | Nurse Anesthetist, Certified Registered | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1861453128 | SARAH CHILTON MD Individual | Radiology (Body Imaging) | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1609838770 | BETTYANN HEPPLER CNM Individual | Advanced Practice Midwife | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1659334324 | KATHLEEN MITCHELL CRNA Individual | Nurse Anesthetist, Certified Registered | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1568426070 | PRISCILLA NODINE CNM Individual | Advanced Practice Midwife | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1386600237 | DR. RICHARD ZANE MD Individual | Emergency Medicine | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
| 1760449607 | MS. CHERYL A MCGINNIS CRNA Individual | Nurse Anesthetist, Certified Registered | 12605 E 16TH AVE AURORA, CO 80045 (720) 848-0000 |
Frequently Asked Questions
What is Kevin Rothchild MD NPI number?
The NPI number assigned to this healthcare provider is 1003000480, registered as an "individual" on August 29, 2007
Where is Kevin Rothchild MD located?
The provider is located at 12605 E 16th Ave Aurora, Co 80045 and the phone number is (303) 724-2728
Which is Kevin Rothchild MD specialty?
The provider's speciality is Surgery with a focus in Trauma Surgery
How many years of experience does Kevin Rothchild MD have?
The provider has more than 26 years of experience. He graduated from Ohio State University College Of Medicine in 1997.
What insurance does Kevin Rothchild MD accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Is Kevin Rothchild MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Kevin Rothchild MD Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Is Kevin Rothchild MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: UNIVERSITY OF COLORADO HOSPITAL AUTHORITY. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Kevin Rothchild MD was last updated on August 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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