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DR. MARC S. ROVNER M.D.
NPI 1093795668
Internal Medicine - Pulmonary Disease in Lima, OH

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
770 W HIGH ST, SUITE 240, LIMA, OH 45801(419) 996-2686(419) 996-2687 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2025, Dec 31, 2020 (2 updates tracked since 2020).

About Dr. Marc S. Rovner M.d. NPPES

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

DR. MARC S. ROVNER M.D. (NPI 1093795668) is an individual pulmonary disease provider in Lima, Ohio, licensed in Indiana (01079134A) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1093795668
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MARC S. ROVNERCredential: M.D.
Location Address770 W HIGH ST, SUITE 240Lima, OH 45801-3990
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(419) 996-2686
Fax(419) 996-2687
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJanuary 19, 2006
Last NPPES UpdateMarch 6, 20252 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1093795668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in IN · 01079134A✔ Licensed in OH · 35-058072
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedSpecialistTaxonomy 174400000X · License 35.058072R (OH)
770 W HIGH ST, Lima, OH 45801
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258

Other Identifiers 1

Medicaid0784656OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Marc S. Rovner 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 ID1951205459
PECOS Enrollment IDI20170908002814
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 7

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.
145 services123 patients
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.
76 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
69 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
62 services62 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.
40 services37 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health North Hospital

Acute Care Hospitals · Carmel, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150161
Location11700 N Meridian StCarmel, IN 46032 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45801 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers12 claims12 services$19.55 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers13 claims70 services$2.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers25 claims25 services$16.71 avg. paid by Medicare
Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing E0434
DME-Oxygen and Supplies · category DC000N
1 supplier21 claims23 services$30.99 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
6 suppliers28 claims32 services$5.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
9 suppliers219 claims224 services$73.07 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 20

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

LIMA EAR NOSE AND THROAT SPECIALISTS, LLC
Otolaryngology
770 W HIGH ST, SUITE 460
LIMA, OH 45801
Allen County (419) 224-5111
ALI S ALMUDALLAL M.D.
Psychiatry & Neurology (Neurology)
770 W HIGH ST, SUITE 160
LIMA, OH 45801
Allen County (419) 996-5224
ROSA LINDA LOCKE-PORRECA LISW
Social Worker
770 W HIGH ST, SUITE 300
LIMA, OH 45801
Allen County (419) 996-5033
ANGELA MAAS CNP
Nurse Practitioner (Family)
770 W HIGH ST, SUITE 460
LIMA, OH 45801
Allen County (419) 226-4300
SOHRAB DADFAR PH.D.
Psychologist (Clinical)
770 W HIGH ST, SUIT 300
LIMA, OH 45801
Allen County (419) 996-5033
NEUROLOGY ASSOCIATES OF LIMA
Specialist
770 W HIGH ST, SUITE 360
LIMA, OH 45801
Allen County (419) 225-9210
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Otolaryngology
770 W HIGH ST, SUITE 480
LIMA, OH 45801
Allen County (419) 227-9500
LAINE ALEXA VICAREL PHARMD, RPH
Pharmacist
770 W HIGH ST, SUITE 450
LIMA, OH 45801
Allen County (419) 996-5640

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 Marc Rovner's NPI number?

The NPI number for Marc Rovner is 1093795668. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Marc Rovner located?

Marc Rovner practices at 770 W High St Suite 240, Lima, OH 45801. The listed phone number is (419) 996-2686.

What is Marc Rovner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Marc Rovner enrolled in Medicare?

Yes. Marc Rovner 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 Marc Rovner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Marc Rovner 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 Marc Rovner affiliated with any hospitals?

According to CMS data, Marc Rovner is affiliated with Indiana University Health, Iu Health West Hospital and Indiana University Health North Hospital.

When was this NPI record last updated?

The NPPES record for Marc Rovner was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.