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GARY J ROSENTHAL MD
NPI 1265491278
Surgery - Vascular Surgery in Saint Paul, MN

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
401 PHALEN BLVD, MAIL STOP 41104A, SAINT PAUL, MN 55101(651) 254-7980(651) 254-7969 Get Directions Write a Review

NPPES record last updated: April 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary J Rosenthal Md NPPES

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

GARY J ROSENTHAL MD (NPI 1265491278) is an individual vascular surgery provider in Saint Paul, Minnesota, licensed in Minnesota (43780) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of University Of Alabama School Of Medicine (1987).

NPPES Registry Identity

NPI1265491278
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameGARY J ROSENTHALCredential: MD
Location Address401 PHALEN BLVD, MAIL STOP 41104ASaint Paul, MN 55101-5302
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (952) 883-5790 · Fax (952) 853-8727
Phone(651) 254-7980
Fax(651) 254-7969
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1987
Enumeration DateMarch 20, 2006
Last NPPES UpdateApril 17, 2019
✔ NPI 1265491278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MN · 43780
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 43780 (MN)
401 PHALEN BLVD, Saint Paul, MN 55101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Gary J Rosenthal 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 ID8729181631
PECOS Enrollment IDI20070314000389
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.
38 services29 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.
32 services24 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.
27 services27 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
26 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 19

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

SETH I WOLPERT MD
Surgery
401 PHALEN BLVD, MAIL STOP 41104A
ST PAUL, MN 55101
Ramsey County (851) 254-7980
CHARLENE E MCEVOY MD
Internal Medicine (Pulmonary Disease)
401 PHALEN BLVD, MAIL STOP 41102D
SAINT PAUL, MN 55101
Ramsey County (651) 254-7670
JOHN J MARINI MD
Internal Medicine (Critical Care Medicine)
401 PHALEN BLVD, MAIL STOP 41102D
ST PAUL, MN 55101
Ramsey County (651) 254-7670
RICHARD C TIMMING MD
Physical Medicine & Rehabilitation
401 PHALEN BLVD, MAIL STOP 41102E
ST PAUL, MN 55101
Ramsey County (651) 254-7760
ANTHONY J PFAFF MD
Ophthalmology
401 PHALEN BLVD, MAIL STOP 41102E
ST PAUL, MN 55101
Ramsey County (651) 254-7500
DANIEL E HATHAWAY MD
Internal Medicine (Rheumatology)
401 PHALEN BLVD, MAIL STOP 41103A
SAINT PAUL, MN 55101
Ramsey County (651) 254-7800
JOHN DANIEL NELSON MD
Ophthalmology
401 PHALEN BLVD, MAIL STOP 41102E
ST PAUL, MN 55101
Ramsey County (651) 254-7500
PAUL ALLAN ABRAHAM MD
Internal Medicine (Nephrology)
401 PHALEN BLVD, MAIL STOP 41103C
ST PAUL, MN 55101
Ramsey County (651) 254-7850

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 Gary Rosenthal's NPI number?

The NPI number for Gary Rosenthal is 1265491278. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Gary Rosenthal located?

Gary Rosenthal practices at 401 Phalen Blvd Mail Stop 41104A, Saint Paul, MN 55101. The listed phone number is (651) 254-7980.

What is Gary Rosenthal's specialty?

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

Is Gary Rosenthal enrolled in Medicare?

Yes. Gary 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 Gary Rosenthal accept?

Health plans from HealthPartners and Medica list Gary 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 Gary Rosenthal affiliated with any hospitals?

According to CMS data, Gary Rosenthal is affiliated with Lakeview Memorial Hospital, Regions Hospital and Amery Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Gary Rosenthal was last updated on April 17, 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.