LEAH ROTHSTEIN M.D.
NPI 1245693738
Family Medicine in West Boylston, MA

Q: What is Leah Rothstein's NPI number?

The NPI number for Leah Rothstein is 1245693738. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Leah Rothstein's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leah Rothstein was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 April 01, 2016PECOS EnrolledAccepts Medicare Assignment

242 WOODLAND ST, WEST BOYLSTON, MA 01583(508) 835-6221(508) 835-4859 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2020, Aug 19, 2019, Jun 13, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Leah Rothstein M.d. NPPES

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

LEAH ROTHSTEIN M.D. (NPI 1245693738) is an individual family medicine provider in West Boylston, Massachusetts, licensed in Massachusetts (279289) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1245693738

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLEAH ROTHSTEINCredential: M.D.

Location Address242 WOODLAND STWest Boylston, MA 01583

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-8105

Phone(508) 835-6221

Fax(508) 835-4859

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 1, 2016

Last NPPES UpdateOctober 30, 20204 updates tracked since enumeration

NPPES CertifiedOctober 30, 2020

✔ NPI 1245693738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MA · 279289

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

242 WOODLAND ST, West Boylston, MA 01583

Open in Google Maps ↗

Secondary Practice Location 1

Location 1279 Lincoln StWorcester, MA 01605-2120 · Phone (508) 334-1000

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

Leah Rothstein 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 ID3173817053

PECOS Enrollment IDI20191122002126

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 4

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.

262 services119 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

113 services113 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

16 services16 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220001

Location60 Hospital RoadLeominster, MA 01453 · Worcester County

Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220176

Location123 Summer StreetWorcester, MA 01608 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01583 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

$90.70 typical visit price

range $58.86 – $177.36

Typical copayment $22.67 (range $14.71 – $44.34)

Most-billed visit code 99203

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers20 claims20 services$188.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 7

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

DR. HONGBIN XU OD

Optometrist

242 WOODLAND ST, STE 210
WEST BOYLSTON, MA 01583

Worcester County (508) 835-3377

MS. ELIZABETH JA CROTEAU POLAK L.I.C.S.W.

Social Worker (Clinical)