DEBRA A ROTHENBERG M.D.
NPI 1245265776
Family Medicine in Portland, ME

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
272 CONGRESS ST, PORTLAND, ME 04101(207) 874-2466(207) 774-4625 Get Directions Write a Review

NPPES record last updated: December 31, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra A Rothenberg M.d. NPPES

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

DEBRA A ROTHENBERG M.D. (NPI 1245265776) is an individual family medicine provider in Portland, Maine, licensed in Maine (015974) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Michigan State University College Of Human Medicine (1990).

NPPES Registry Identity

NPI1245265776
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDEBRA A ROTHENBERGCredential: M.D.
Location Address272 CONGRESS STPortland, ME 04101-3637
Mailing Address39 Wallace AveSouth Portland, ME 04106-6143 · (207) 761-0650 · Fax (207) 761-8198
Fax(207) 774-4625
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1990
Enumeration DateJuly 12, 2006
Last NPPES UpdateDecember 31, 2008
NPI 1245265776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ME · 015974
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.
272 CONGRESS ST, Portland, ME 04101

Other Identifiers 6

Medicare PINMM9535ME
Medicare UPINF92903
Medicaid296990099ME
Medicare PIN080187381ME
Medicare PINMM953502ME
Medicare PIN080187380ME

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

Debra A Rothenberg 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 ID7810930963
PECOS Enrollment IDI20050609000112
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 2

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 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.
25 services23 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Nurse Practitioner (Family)
272 CONGRESS ST
PORTLAND, ME 04101
Hospitalist
272 CONGRESS ST
PORTLAND, ME 04101
Social Worker (Clinical)
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101
Nurse Practitioner (Family)
272 CONGRESS ST
PORTLAND, ME 04101
Family Medicine
272 CONGRESS ST
PORTLAND, ME 04101

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 Debra Rothenberg's NPI number?

The NPI number for Debra Rothenberg is 1245265776. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Debra Rothenberg located?

Debra Rothenberg practices at 272 Congress St, Portland, ME 04101. The listed phone number is (207) 874-2466.

What is Debra Rothenberg's specialty?

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

Is Debra Rothenberg enrolled in Medicare?

Yes. Debra Rothenberg 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 Debra Rothenberg accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Debra Rothenberg 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 Debra Rothenberg affiliated with any hospitals?

According to CMS data, Debra Rothenberg is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Debra Rothenberg was last updated on December 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.