DR. MARC DAVID ROSENTHAL M.D.
NPI 1144290339
Otolaryngology in Wailuku, HI

Q: What is Marc Rosenthal's NPI number?

The NPI number for Marc Rosenthal is 1144290339. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Marc Rosenthal's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Rosenthal was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment

87.03/100

CMS Quality Rating

2180 MAIN ST, WAILUKU, HI 96793(808) 242-6464(808) 243-2365 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Marc David Rosenthal M.d. NPPES

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

DR. MARC DAVID ROSENTHAL M.D. (NPI 1144290339) is an individual otolaryngology provider in Wailuku, Hawaii, licensed in Tennessee (38164) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1999).

NPPES Registry Identity

NPI1144290339

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. MARC DAVID ROSENTHALCredential: M.D.

Location Address2180 MAIN STWailuku, HI 96793-1625

Mailing Address2180 Main StWailuku, HI 96793-1625 · (808) 242-6464 · Fax (808) 242-4292

Phone(808) 242-6464

Fax(808) 243-2365

Sole ProprietorNo

Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1999

Enumeration DateJanuary 23, 2006

Last NPPES UpdateMarch 29, 2019

✔ NPI 1144290339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in TN · 38164

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.

2180 MAIN ST, Wailuku, HI 96793

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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 David Rosenthal 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 ID5496733941

PECOS Enrollment IDI20160525001724

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 14

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.

Test for allergy using allergenic extract 95004

An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.

4,031 services51 patients

Test for allergy using allergenic extract injected into skin 95024

An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.

683 services50 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.

192 services151 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.

96 services84 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.

66 services50 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.

66 services66 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

50 services39 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.

46 services36 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.

42 services42 patients

Removal or destruction of growth of nose through nose 30117

This procedure involves removing or destroying a growth in the nose. It's done through the nostrils, so no external cuts are made. The growth could be a polyp, cyst, or other abnormal tissue. It helps improve breathing and reduces discomfort or other symptoms caused by the growth.

28 services20 patients

Destruction of soft tissue of nasal passages 30801

Destruction of soft tissue in the nasal passages involves removing or reducing specific tissues in your nose that may be causing problems such as blockages or excessive snoring. The procedure is performed by a medical professional using specialized tools and techniques. It's typically safe and effective.

19 services19 patients

Dilation of canal between middle ear and throat (eustachian tube) on both sides of body, using endoscope inserted through nose 69706

This procedure involves widening the eustachian tubes, which connect your middle ear to your throat, to improve ear function. An endoscope, a thin tube with a light, is inserted through the nose to visualize and perform the procedure on both sides.

15 services15 patients

Dilation of nasal sinus using an endoscope 31295

Dilation of the nasal sinus using an endoscope is a procedure to improve sinus drainage. A small tube with a camera, called an endoscope, is inserted into the nose. A balloon is then inflated to widen the sinus openings. This helps to relieve sinus pressure and symptoms.

12 services12 patients

Dilation of sphenoid and frontal nasal sinus using an endoscope 31298

This procedure involves enlarging the openings of your sphenoid and frontal nasal sinuses using a thin, lighted tube called an endoscope. It helps to alleviate symptoms of sinusitis, improving your breathing and reducing discomfort.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

87.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.78

Promoting Interoperability

Improvement Activities

Cost

89.17

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use

Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy

91%34 patients

Acute Otitis Externa (AOE): Topical Therapy

Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations

56%34 patients3/55-star benchmark: 100%

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

79%426 patients4/55-star benchmark: 96%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

59%758 patients3/55-star benchmark: 99%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

40%172 patients1/55-star benchmark: 100%

Diabetes: Medical Attention for Nephropathy

The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period

94%80 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%2,127 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.

92%301 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%105 patients4/55-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.

0%606 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

55%530 patients3/55-star benchmark: 95%

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…

41%1,321 patients2/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

26%53 patients2/55-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…

74%606 patients3/55-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…

36%606 patients2/55-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

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

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

1 supplier32 claims32 services$50.15 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.

MR. ARTHUR RUBEN SAKAKIHARA - CHAVARRIA PA-C

Physician Assistant (Medical)