DR. NATHAN IRA ROTHMAN MD
NPI 1285616136
Internal Medicine - Pulmonary Disease in Lawrence, NY

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
83.67/100
CMS Quality Rating
360 CENTRAL AVE, STE 113, LAWRENCE, NY 11559(516) 569-6966(516) 569-4026 Get Directions Write a Review

NPPES record last updated: September 18, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nathan Ira Rothman Md NPPES

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

DR. NATHAN IRA ROTHMAN MD (NPI 1285616136) is an individual pulmonary disease provider in Lawrence, New York, licensed in New York (124197) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1974).

NPPES Registry Identity

NPI1285616136
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. NATHAN IRA ROTHMANCredential: MD
Location Address360 CENTRAL AVE, STE 113Lawrence, NY 11559
Mailing Address360 Central Ave, Ste 113Lawrence, NY 11559 · (516) 569-6966 · Fax (516) 569-4026
Fax(516) 569-4026
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1974
Enumeration DateNovember 16, 2005
Last NPPES UpdateSeptember 18, 2017
NPI 1285616136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NY · 124197
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
360 CENTRAL AVE, Lawrence, NY 11559

Other Identifiers 4

Medicare UPINC08415
Medicare ID-Type Unspecified306601
Medicaid00250248NY
Other124197NY · License

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. Nathan Ira Rothman 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 ID6800813064
PECOS Enrollment IDI20060927000297
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 17

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.

Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
349 services215 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
244 services100 patients
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.
233 services145 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
228 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
214 services123 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
162 services106 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11559 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.01
Promoting Interoperability96
Improvement Activities40
Cost39.58

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers29 claims29 services$33.21 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers19 claims19 services$76.71 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers16 claims34 services$26.33 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers25 claims144 services$15.46 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers21 claims114 services$12.56 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers48 claims48 services$43.79 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 9

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

Psychologist (School)
360 CENTRAL AVE
LAWRENCE, NY 11559
Social Worker (Clinical)
360 CENTRAL AVE
LAWRENCE, NY 11559
Dentist (Periodontics)
360 CENTRAL AVE
LAWRENCE, NY 11559
Social Worker (Clinical)
360 CENTRAL AVE, SUITE 110
LAWRENCE, NY 11559
Dentist
360 CENTRAL AVE, SUITE 112
LAWRENCE, NY 11559
Social Worker (Clinical)
360 CENTRAL AVE
LAWRENCE, NY 11559
Internal Medicine (Pulmonary Disease)
360 CENTRAL AVE, SUITE 113
LAWRENCE, NY 11559
Ophthalmology
360 CENTRAL AVE
LAWRENCE, NY 11559

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 Nathan Rothman's NPI number?

The NPI number for Nathan Rothman is 1285616136. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Nathan Rothman located?

Nathan Rothman practices at 360 Central Ave Ste 113, Lawrence, NY 11559. The listed phone number is (516) 569-6966.

What is Nathan Rothman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nathan Rothman enrolled in Medicare?

Yes. Nathan Rothman 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.

Is Nathan Rothman affiliated with any hospitals?

According to CMS data, Nathan Rothman is affiliated with Mercy Medical Center and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Nathan Rothman was last updated on September 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.