DR. MARTIN DANIEL ROSENTHAL M.D.
NPI 1205154945
Surgery in Gainesville, FL

Active since May 05, 2010PECOS EnrolledAccepts Medicare Assignment
78.18/100
CMS Quality Rating
1600 SW ARCHER RD, GAINESVILLE, FL 32610(325) 265-0680 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Martin Daniel Rosenthal M.d. NPPES

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

DR. MARTIN DANIEL ROSENTHAL M.D. (NPI 1205154945) is an individual surgery provider in Gainesville, Florida, licensed in Florida (ME132243) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Uf Health Shands Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1205154945
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARTIN DANIEL ROSENTHALCredential: M.D.
Location Address1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing Address7691 Sw 81st WayGainesville, FL 32608-9088 · (404) 808-2969
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateMay 5, 2010
Last NPPES UpdateAugust 15, 2017
✔ NPI 1205154945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME132243
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1600 SW ARCHER RD, Gainesville, FL 32610

Other Identifiers 2

OtherJA612ZFL · Medicare Ptan
Medicaid021432500FL

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. Martin Daniel 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 ID143458208
PECOS Enrollment IDI20170814002427
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
78 services41 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.
64 services34 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.
44 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services30 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Uf Health Shands Hospital

Acute Care Hospitals · Gainesville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100113
Location1600 SW Archer RdGainesville, FL 32610 · Alachua County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
3 suppliers24 claims563 services$10.92 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix B4197
Other-Enteral and Parenteral · category OB005N
3 suppliers24 claims157 services$280.75 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
3 suppliers24 claims157 services$8.04 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
3 suppliers24 claims157 services$25.10 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.

Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610

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 Martin Rosenthal's NPI number?

The NPI number for Martin Rosenthal is 1205154945. It was assigned to this individual provider in the NPPES registry on May 5, 2010.

Where is Martin Rosenthal located?

Martin Rosenthal practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (325) 265-0680.

What is Martin Rosenthal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Martin Rosenthal enrolled in Medicare?

Yes. Martin Rosenthal 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 Martin Rosenthal accept?

Health plans from AvMed and Florida Blue (BlueCross BlueShield FL) list Martin Rosenthal 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 Martin Rosenthal affiliated with any hospitals?

According to CMS data, Martin Rosenthal is affiliated with Uf Health Shands Hospital.

When was this NPI record last updated?

The NPPES record for Martin Rosenthal was last updated on August 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.