DR. RALPH A ROPHIE M.D.
NPI 1043248164
Family Medicine in Clearwater, FL

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
1013 LOTUS PATH, CLEARWATER, FL 33756(727) 449-9595 Get Directions Write a Review

NPPES record last updated: February 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Ralph A Rophie M.d. NPPES

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

DR. RALPH A ROPHIE M.D. (NPI 1043248164) is an individual family medicine provider in Clearwater, Florida, licensed in Florida (56805) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Morton Plant Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1043248164
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RALPH A ROPHIECredential: M.D.
Location Address1013 LOTUS PATHClearwater, FL 33756-4029
Mailing Address1013 Lotus PathClearwater, FL 33756-4029 · (727) 449-9595
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJune 29, 2006
Last NPPES UpdateFebruary 4, 2019
NPI 1043248164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · 56805
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1013 LOTUS PATH, Clearwater, FL 33756

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

Dr. Ralph A Rophie M.d. 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 ID8628979325
PECOS Enrollment IDI20040120000384
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 3

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 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.
134 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
68 services26 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
17 services12 patients

Hospital Affiliations CMS Care Compare

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33756 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pediatrics
1013 LOTUS PATH
CLEARWATER, FL 33756
Family Medicine
1013 LOTUS PATH
CLEARWATER, FL 33756

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 Ralph Rophie's NPI number?

The NPI number for Ralph Rophie is 1043248164. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Ralph Rophie located?

Ralph Rophie practices at 1013 Lotus Path, Clearwater, FL 33756. The listed phone number is (727) 449-9595.

What is Ralph Rophie's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ralph Rophie enrolled in Medicare?

Yes. Ralph Rophie 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 Ralph Rophie accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ralph Rophie 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 Ralph Rophie affiliated with any hospitals?

According to CMS data, Ralph Rophie is affiliated with Morton Plant Hospital.

When was this NPI record last updated?

The NPPES record for Ralph Rophie was last updated on February 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.