MICHAEL B ROSEN MD
NPI 1285691659
Family Medicine in Penn Valley, PA

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
15.26/100
CMS Quality Rating
857 MONTGOMERY AVE FL 1, PENN VALLEY, PA 19072(601) 664-2951 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2023, Nov 18, 2021 (2 updates tracked since 2021).

About Michael B Rosen Md NPPES

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

MICHAEL B ROSEN MD (NPI 1285691659) is an individual family medicine provider in Penn Valley, Pennsylvania, licensed in Pennsylvania (MD042474E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Hahnemann University College Of Medicine (1987).

NPPES Registry Identity

NPI1285691659
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL B ROSENCredential: MD
Location Address857 MONTGOMERY AVE FL 1Penn Valley, PA 19072-1541
Mailing Address509 Germantown PikeLafayette Hill, PA 19444 · (610) 828-7570 · Fax (610) 941-3915
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1987
Enumeration DateApril 28, 2006
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1285691659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD042474E Licensed in PA · MD-042474-E
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 ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License MD042474E (PA)
857 MONTGOMERY AVE FL 1, Penn Valley, PA 19072

Other Identifiers 8

OtherMOP103Oxford
Other1015498Keystone Mercy
Other1332484First Health Network
Other1414084003Cigna
Other602157PA · Pa Blue Shield
Other0000001Aetna Hmo
Medicaid0016144980001PA
Other4226160Aetna Ppo

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

Michael B Rosen 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 ID6204962509
PECOS Enrollment IDI20100325000745
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 8

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.

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.
2,106 services359 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,500 services336 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
331 services246 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.
184 services135 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
119 services69 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19072 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.

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.

15.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost50.87

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.

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims1,199 services$0.37 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier28 claims781 services$4.19 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier28 claims15,071 services$0.27 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier19 claims19 services$52.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Rosen's NPI number?

The NPI number for Michael Rosen is 1285691659. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Michael Rosen located?

Michael Rosen practices at 857 Montgomery Ave Fl 1, Penn Valley, PA 19072. The listed phone number is (601) 664-2951.

What is Michael Rosen's specialty?

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

Is Michael Rosen enrolled in Medicare?

Yes. Michael Rosen 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 Michael Rosen affiliated with any hospitals?

According to CMS data, Michael Rosen is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Rosen was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.