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LORI E ROUSCHE MD
NPI 1275588691
Family Medicine in Souderton, PA

Active since May 24, 2006PECOS Enrolled
777 ROUTE 113, SOUDERTON, PA 18964(215) 723-3280 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lori E Rousche Md NPPES

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

LORI E ROUSCHE MD (NPI 1275588691) is an individual family medicine provider in Souderton, Pennsylvania, licensed in Pennsylvania (MD042355L) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275588691
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLORI E ROUSCHECredential: MD
Location Address777 ROUTE 113Souderton, PA 18964-1000
Mailing Address777 Route 113Souderton, PA 18964-1000 · (215) 723-3280
Phone(215) 723-3280
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJanuary 7, 2011
✔ NPI 1275588691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD042355L
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.
777 ROUTE 113, Souderton, PA 18964
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Other Identifiers 1

Medicare UPINE99347PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori E Rousche Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lori Rousche reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grand View Hospital
3.1 mi
Hospice and Palliative Medicine
700 LAWN AVE
Sellersville, PA 18960
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1033383724 (215) 453-4118
Trivalley Primary Care, PC
3.2 mi
Family Medicine
519 S 5TH ST, SUITE 130
Perkasie, PA 18944
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
NPI 1245295757 (215) 257-8601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18964 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 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
9 suppliers27 claims73 services$6.62 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers17 claims23 services$1.11 avg. paid by Medicare
Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims341 services$0.04 avg. paid by Medicare
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
1 supplier11 claims11 services$184.44 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. TIMOTHY MATTHEW DALY D.O.
Family Medicine
777 ROUTE 113
SOUDERTON, PA 18964
Montgomery County (215) 723-3280
MISTY D ARNOLD CNP
Nurse Practitioner
777 ROUTE 113
SOUDERTON, PA 18964
Montgomery County (215) 723-3280
LAUREN BATEMAN CRNP
Nurse Practitioner (Family)
777 ROUTE 113
SOUDERTON, PA 18964
Montgomery County (215) 723-3280
DR. DEBRA GEORGE-REICHLEY M.D.
Family Medicine
777 ROUTE 113
SOUDERTON, PA 18964
Montgomery County (215) 723-3280
HEATHER K HART MD
Family Medicine
777 ROUTE 113
SOUDERTON, PA 18964
Montgomery County (215) 723-3280
STEVEN S BIMSON MD
Family Medicine
777 ROUTE 113
SOUDERTON, PA 18964
Montgomery County (215) 723-3280

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 Lori Rousche's NPI number?

The NPI number for Lori Rousche is 1275588691. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Lori Rousche located?

Lori Rousche practices at 777 Route 113, Souderton, PA 18964. The listed phone number is (215) 723-3280.

What is Lori Rousche's specialty?

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

Is Lori Rousche enrolled in Medicare?

Yes. Lori Rousche is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lori Rousche's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Rousche reassigns Medicare benefits to 2 organizations: Grand View Hospital (Sellersville, PA) and Trivalley Primary Care, PC (Perkasie, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lori Rousche's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Rousche was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.