KENNETH J ROSENTHAL MD
NPI 1295750230
Ophthalmology in Great Neck, NY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
45.69/100
CMS Quality Rating
310 E SHORE RD, SUITE 102, GREAT NECK, NY 11023(516) 466-8989(516) 466-8962 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth J Rosenthal Md NPPES

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

KENNETH J ROSENTHAL MD (NPI 1295750230) is an individual ophthalmology provider in Great Neck, New York, licensed in New York (138603) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1295750230
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENNETH J ROSENTHALCredential: MD
Location Address310 E SHORE RD, SUITE 102Great Neck, NY 11023-2432
Mailing Address310 E Shore Rd, Suite 102Great Neck, NY 11023-2432 · (516) 466-8989 · Fax (516) 466-8962
Fax(516) 466-8962
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 12, 2006
Last NPPES UpdateFebruary 11, 2008
NPI 1295750230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NY · 138603
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
310 E SHORE RD, Great Neck, NY 11023

Other Identifiers 2

Medicare PIN20A721NY
Medicare UPINB10907NY

Accepted 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

Kenneth 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 ID3779640974
PECOS Enrollment IDI20090313000510
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 14

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
728 services382 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
389 services352 patients
Microfluid analysis of tears 83861
Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.
234 services99 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
233 services190 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
172 services119 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
118 services100 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11023 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
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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.

45.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.13
Promoting Interoperability1
Improvement Activities40
Cost42.34

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%330 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
0%512 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%512 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Psychiatry)
310 E SHORE RD, SUITE #201
GREAT NECK, NY 11023
Internal Medicine (Gastroenterology)
310 E SHORE RD, 206
GREAT NECK, NY 11023
Dentist
310 E SHORE RD
GREAT NECK, NY 11023
Internal Medicine (Cardiovascular Disease)
310 E SHORE RD, SUITE 104
GREAT NECK, NY 11023
Psychologist (Clinical)
310 E SHORE RD
GREAT NECK, NY 11023
Surgery
310 E SHORE RD, SUITE 203
GREAT NECK, NY 11023
Internal Medicine (Cardiovascular Disease)
310 E SHORE RD, SUITE 104
GREAT NECK, NY 11023
Dentist
310 E SHORE RD, SUITE 101
GREAT NECK, NY 11023

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 Kenneth Rosenthal's NPI number?

The NPI number for Kenneth Rosenthal is 1295750230. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Kenneth Rosenthal located?

Kenneth Rosenthal practices at 310 E Shore Rd Suite 102, Great Neck, NY 11023. The listed phone number is (516) 466-8989.

What is Kenneth Rosenthal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Rosenthal enrolled in Medicare?

Yes. Kenneth 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 Kenneth Rosenthal accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Kenneth 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.

When was this NPI record last updated?

The NPPES record for Kenneth Rosenthal was last updated on February 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.