ALEXANDER NELSON ROCK MD
NPI 1013398833
Otolaryngology in Columbus, OH

Active since June 17, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
915 OLENTANGY RIVER RD STE 4000, COLUMBUS, OH 43212(614) 293-9215(614) 293-1923 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alexander Nelson Rock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDER NELSON ROCK MD (NPI 1013398833) is an individual otolaryngology provider in Columbus, Ohio, licensed in Ohio (35.134739) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1013398833
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameALEXANDER NELSON ROCKCredential: MD
Location Address915 OLENTANGY RIVER RD STE 4000Columbus, OH 43212-3154
Mailing Address915 Olentangy River Rd Ste 4000Columbus, OH 43212-3154 · (614) 293-9215 · Fax (614) 293-1923
Fax(614) 293-1923
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2015
Enumeration DateJune 17, 2015
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
NPI 1013398833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in OH · 35.134739 Licensed in ID · M15103
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

915 OLENTANGY RIVER RD STE 4000, Columbus, OH 43212

Secondary Practice Location 1

Location 1900 N Liberty St Ste 400Boise, ID 83704-8707 · Phone (208) 367-3320 · Fax (208) 367-3320

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alexander Nelson Rock Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658681689
PECOS Enrollment IDI20200422002579
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
216 services146 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
106 services86 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
95 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
82 services82 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
40 services31 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Allergy & Immunology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Nurse Practitioner (Adult Health)
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212
Otolaryngology
915 OLENTANGY RIVER RD STE 4000
COLUMBUS, OH 43212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Rock's NPI number?

The NPI number for Alexander Rock is 1013398833. It was assigned to this individual provider in the NPPES registry on June 17, 2015.

Where is Alexander Rock located?

Alexander Rock practices at 915 Olentangy River Rd Ste 4000, Columbus, OH 43212. The listed phone number is (614) 293-9215.

What is Alexander Rock's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alexander Rock enrolled in Medicare?

Yes. Alexander Rock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexander Rock accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Alexander Rock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alexander Rock affiliated with any hospitals?

According to CMS data, Alexander Rock is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, St Luke's Nampa Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Rock was last updated on March 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.