DR. MARC J ROSEN M.D.
NPI 1194790188
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Phoenix, AZ

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
19636 N 27TH AVE, PHOENIX, AZ 85027(602) 298-8888 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc J Rosen M.d. NPPES

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

DR. MARC J ROSEN M.D. (NPI 1194790188) is an individual adult reconstructive orthopaedic surgery provider in Phoenix, Arizona, licensed in Arizona (12437) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (1976).

NPPES Registry Identity

NPI1194790188
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameDR. MARC J ROSENCredential: M.D.
Location Address19636 N 27TH AVEPhoenix, AZ 85027-4013
Mailing Address19636 N 27th AvePhoenix, AZ 85027-4013 · (602) 298-8888
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1976
Enumeration DateFebruary 22, 2006
Last NPPES UpdateFebruary 8, 2018
NPI 1194790188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in AZ · 12437
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
19636 N 27TH AVE, Phoenix, AZ 85027

Other Identifiers 2

Other3Z3941AZ · Healthnet
Medicaid220046AZ

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. Marc J Rosen 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 ID4880650225
PECOS Enrollment IDI20100511000103
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 11

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.
317 services225 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
229 services44 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
166 services131 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
94 services82 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.
76 services76 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.
68 services49 patients

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.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

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…
100%255 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 20

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

Internal Medicine (Hematology & Oncology)
19636 N 27TH AVE, SUITE 303
PHOENIX, AZ 85027
Nurse Practitioner (Adult Health)
19636 N 27TH AVE, SUITE 202
PHOENIX, AZ 85027
Non-Pharmacy Dispensing Site
19636 N 27TH AVE, SUITE 202
PHOENIX, AZ 85027
Family Medicine
19636 N 27TH AVE, STE. 308
PHOENIX, AZ 85027
Physical Therapist
19636 N 27TH AVE
PHOENIX, AZ 85027
Family Medicine
19636 N 27TH AVE, SUITE 308
PHOENIX, AZ 85027
Non-Pharmacy Dispensing Site
19636 N 27TH AVE, SUITE 106
PHOENIX, AZ 85027
Physician Assistant
19636 N 27TH AVE
PHOENIX, AZ 85027

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 Rosen's NPI number?

The NPI number for Marc Rosen is 1194790188. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Marc Rosen located?

Marc Rosen practices at 19636 N 27th Ave, Phoenix, AZ 85027. The listed phone number is (602) 298-8888.

What is Marc Rosen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Marc Rosen enrolled in Medicare?

Yes. Marc Rosen 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 Rosen accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Marc Rosen 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.

When was this NPI record last updated?

The NPPES record for Marc Rosen was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.