DR. JAMES H. ROTHSTEIN MD
NPI 1265419584
Surgery - Vascular Surgery in Prestonsburg, KY

Q: What is James Rothstein's NPI number?

The NPI number for James Rothstein is 1265419584. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Q: What is James Rothstein's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for James Rothstein was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 28, 2005PECOS EnrolledAccepts Medicare Assignment

5000 KY ROUTE 321, PRESTONSBURG, KY 41653(606) 886-1316 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2023, Jun 17, 2019 (2 updates tracked since 2019).

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About Dr. James H. Rothstein Md NPPES

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

DR. JAMES H. ROTHSTEIN MD (NPI 1265419584) is an individual vascular surgery provider in Prestonsburg, Kentucky, licensed in New Hampshire (12009) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Highlands Arh Regional Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1265419584

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. JAMES H. ROTHSTEINCredential: MD

Location Address5000 KY ROUTE 321Prestonsburg, KY 41653-9113

Mailing Address7610 Carroll Ave Ste 100Takoma Park, MD 20912-6311 · (301) 891-2500 · Fax (301) 448-1679

Phone(606) 886-1316

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateDecember 28, 2005

Last NPPES UpdateMay 3, 20232 updates tracked since enumeration

NPPES CertifiedMay 3, 2023

✔ NPI 1265419584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NH · 12009

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

5000 KY ROUTE 321, Prestonsburg, KY 41653

Open in Google Maps ↗

Secondary Practice Locations 5

Location 17610 Carroll Ave Ste 100Takoma Park, MD 20912-6311 · Phone (301) 891-2500 · Fax (301) 448-1679

Location 28816 Jericho City DrHyattsville, MD 20785-4762 · Phone (301) 891-2500 · Fax (301) 448-1679

Location 375 Thomas Johnson Dr Ste IFrederick, MD 21702-4895 · Phone (301) 378-0608

Location 46510 Kenilworth Ave Ste 2300Riverdale, MD 20737-1346 · Phone (301) 891-2500 · Fax (301) 448-1679

Location 5106 Irving St NW Ste 218Washington, DC 20010-2993 · Phone (301) 891-2500 · Fax (301) 448-1679

Other Identifiers 5

Medicaid7100883840KY

OtherAA1129Harvard Pilgrim

Medicaid3094389NH

OtherP01426909NH · Railroad Medicare

OtherTP404KY · Kentucky Board Of Medical Licensure

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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. James H. Rothstein Md 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 ID5890730071

PECOS Enrollment IDI20181217002777, I20230328001461

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.

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

25 services21 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.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

Highlands Arh Regional Medical Center

Acute Care Hospitals · Prestonsburg, KY

2/5 CMS rating

OwnershipProprietary

CMS Certification Number180005

Location5000 Kentucky Route 321Prestonsburg, KY 41653 · Floyd County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41653 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

HIGHLANDS REGIONAL MEDICAL CENTER

Skilled Nursing Facility