DR. MELVIN J ROTHBERGER MD
NPI 1124017512
Ophthalmology in Brooklyn, NY

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
66.76/100
CMS Quality Rating
575 KINGS HWY, BROOKLYN, NY 11223(718) 375-6300(718) 375-6331 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Melvin J Rothberger Md NPPES

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

DR. MELVIN J ROTHBERGER MD (NPI 1124017512) is an individual ophthalmology provider in Brooklyn, New York, licensed in New York (MD1244761) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1974).

NPPES Registry Identity

NPI1124017512
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MELVIN J ROTHBERGERCredential: MD
Location Address575 KINGS HWYBrooklyn, NY 11223-2046
Mailing Address575 Kings HwyBrooklyn, NY 11223-2046 · (718) 375-6300 · Fax (718) 375-6331
Fax(718) 375-6331
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1974
Enumeration DateOctober 18, 2005
Last NPPES UpdateJune 9, 2020
NPPES CertifiedJune 9, 2020
NPI 1124017512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · MD1244761
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

575 KINGS HWY, Brooklyn, NY 11223

Other Identifiers 1

Medicaid00271027NY

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. Melvin J Rothberger 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 ID345262473
PECOS Enrollment IDI20080707000519
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 10

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
983 services909 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
358 services202 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
211 services210 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
88 services87 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
85 services84 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
30 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11223 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

66.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.4
Improvement Activities40
Cost10

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
77%64 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
91%200 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
55%175 patients2/55-star benchmark: 91%
Glaucoma Intraocular Pressure Reduction
82%33 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%25 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
76%49 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,566 patients
Patients totalRate: 0% · 1,566 patients
0%1,566 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 7

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

Audiologist
575 KINGS HWY
BROOKLYN, NY 11223
Specialist
575 KINGS HWY
BROOKLYN, NY 11223
Durable Medical Equipment & Medical Supplies
575 KINGS HWY
BROOKLYN, NY 11223
Ophthalmology
575 KINGS HWY
BROOKLYN, NY 11223
Ophthalmology
575 KINGS HWY
BROOKLYN, NY 11223
Psychiatry & Neurology (Neurology)
575 KINGS HWY
BROOKLYN, NY 11223
Specialist
575 KINGS HWY
BROOKLYN, NY 11223

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 Melvin Rothberger's NPI number?

The NPI number for Melvin Rothberger is 1124017512. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Melvin Rothberger located?

Melvin Rothberger practices at 575 Kings Hwy, Brooklyn, NY 11223. The listed phone number is (718) 375-6300.

What is Melvin Rothberger's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Melvin Rothberger enrolled in Medicare?

Yes. Melvin Rothberger 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.

When was this NPI record last updated?

The NPPES record for Melvin Rothberger was last updated on June 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.