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DR. KARL G ROSE M.D.
NPI 1235136029
Family Medicine in Kettering, OH

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
28.96/100
CMS Quality Rating
3017 WILMINGTON PIKE, KETTERING, OH 45429(937) 294-2555(937) 294-3211 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Karl G Rose M.d. NPPES

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

DR. KARL G ROSE M.D. (NPI 1235136029) is an individual family medicine provider in Kettering, Ohio, licensed in Ohio (35058825R) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1235136029
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KARL G ROSECredential: M.D.
Location Address3017 WILMINGTON PIKEKettering, OH 45429-4001
Mailing Address3017 Wilmington PikeKettering, OH 45429-4001 · (937) 294-2555 · Fax (937) 294-3211
Phone(937) 294-2555
Fax(937) 294-3211
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateJuly 7, 2005
Last NPPES UpdateJune 20, 2019
✔ NPI 1235136029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35058825R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3017 WILMINGTON PIKE, Kettering, OH 45429
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Other Identifiers 1

Medicaid0848855OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Karl G Rose 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 ID8123294709
PECOS Enrollment IDI20120103000482
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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
435 services185 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.
388 services161 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.
193 services125 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
47 services39 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
35 services34 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
29 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

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.

28.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost96.54

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers52 claims88 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers30 claims30 services$1.07 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
2 suppliers16 claims16 services$66.42 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$28.15 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 6

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

DR ROSE & WARD MD INC
Ophthalmology
3017 WILMINGTON PIKE, LOWER LEVEL
DAYTON, OH 45429
Montgomery County (937) 299-9700
DR. STEPHEN DENNIS WARD MD
Ophthalmology
3017 WILMINGTON PIKE, LOWER LEVEL
DAYTON, OH 45429
Montgomery County (937) 299-9700
DR. CATHERINE M ROSE MD
Ophthalmology
3017 WILMINGTON PIKE, LOWER LEVEL
DAYTON, OH 45429
Montgomery County (937) 299-9700
DR. BERNARD J ROSE M.D.
Family Medicine
3017 WILMINGTON PIKE
KETTERING, OH 45429
Montgomery County (937) 294-2555
KARL G. ROSE M.D., INC.
Family Medicine
3017 WILMINGTON PIKE
KETTERING, OH 45429
Montgomery County (937) 294-2555
BEAVERTOWN CLINIC INC
Family Medicine
3017 WILMINGTON PIKE
KETTERING, OH 45429
Montgomery County (937) 294-2555

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 Karl Rose's NPI number?

The NPI number for Karl Rose is 1235136029. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Karl Rose located?

Karl Rose practices at 3017 Wilmington Pike, Kettering, OH 45429. The listed phone number is (937) 294-2555.

What is Karl Rose's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karl Rose enrolled in Medicare?

Yes. Karl Rose 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 Karl Rose accept?

Health plans from Anthem Blue Cross and Blue Shield list Karl Rose 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 Karl Rose affiliated with any hospitals?

According to CMS data, Karl Rose is affiliated with Miami Valley Hospital and Kettering Health Main Campus.

When was this NPI record last updated?

The NPPES record for Karl Rose was last updated on June 20, 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.