1. Home
  2. Directory
  3. Georgia
  4. Eastman
  5. Orthopaedic Surgery
  6. NPI Profile

DONALD H ROSENBAUM DO
NPI 1043215668
Orthopaedic Surgery in Eastman, GA

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
842 PROFESSIONAL CENTER DR, EASTMAN, GA 31023(478) 374-2490(478) 374-0337 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Donald H Rosenbaum Do NPPES

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

DONALD H ROSENBAUM DO (NPI 1043215668) is an individual orthopaedic surgery provider in Eastman, Georgia, licensed in Georgia (046562) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Dodge County Hospital, and maintains a secondary practice location in Cochran.

NPPES Registry Identity

NPI1043215668
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDONALD H ROSENBAUMCredential: DO
Location Address842 PROFESSIONAL CENTER DREastman, GA 31023-6734
Mailing Address842 Professional Center DrEastman, GA 31023-6734 · (478) 374-2490 · Fax (478) 374-0337
Phone(478) 374-2490
Fax(478) 374-0337
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1986
Enumeration DateJune 20, 2005
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
✔ NPI 1043215668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 046562
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
842 PROFESSIONAL CENTER DR, Eastman, GA 31023
Open in Google Maps ↗

Secondary Practice Location 1

Location 1145 E Peacock StCochran, GA 31014-7846 · Phone (478) 374-2490 · Fax (478) 374-0337

Other Identifiers 1

Medicaid000740572JGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donald H Rosenbaum Do 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 ID5193869196
PECOS Enrollment IDI20100215000083
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.

Medicare Billing Reassignment

Medicare enrollment records show Donald Rosenbaum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rosenbaum Orthopaedics, LLC
0.1 mi
Orthopaedic Surgery
1103 PLAZA AVE
Eastman, GA 31023
  • Reassigned Medicare billing, Georgia enrollment
NPI 1568799302 (478) 374-2490

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
298 services98 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
148 services64 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.
76 services49 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
33 services24 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Dodge County Hospital

Acute Care Hospitals · Eastman, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110092
Location901 Griffin AveEastman, GA 31023 · Dodge County
Emergency services

Bleckley Memorial Hospital

Critical Access Hospitals · Cochran, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111302
Location145 Peacock StreetCochran, GA 31014 · Bleckley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31023 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
90%265 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,158 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
80%687 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
21%3,135 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%470 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%982 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
95%677 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%470 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%470 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers14 claims14 services$73.62 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$21.48 avg. paid by Medicare
Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds K0821
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$186.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MED CROSS IMAGING LLC
Specialist
842 PROFESSIONAL CENTER DR
EASTMAN, GA 31023
Dodge County (478) 374-4305
KUO L LEE MD
Specialist
842 PROFESSIONAL CENTER DR
EASTMAN, GA 31023
Dodge County (478) 374-4305

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 Donald Rosenbaum's NPI number?

The NPI number for Donald Rosenbaum is 1043215668. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Donald Rosenbaum located?

Donald Rosenbaum practices at 842 Professional Center Dr, Eastman, GA 31023. The listed phone number is (478) 374-2490.

What is Donald Rosenbaum's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Donald Rosenbaum enrolled in Medicare?

Yes. Donald Rosenbaum 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.

Which organization bills Medicare for Donald Rosenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Rosenbaum reassigns Medicare benefits to Rosenbaum Orthopaedics, LLC (Eastman, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Rosenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Rosenbaum accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health and Oscar Health list Donald Rosenbaum 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 Donald Rosenbaum affiliated with any hospitals?

According to CMS data, Donald Rosenbaum is affiliated with Dodge County Hospital and Bleckley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Rosenbaum was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.