RICHARD ROTHFLEISCH M.D.
NPI 1316967318
Internal Medicine - Critical Care Medicine in Lehighton, PA
About Richard Rothfleisch M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD ROTHFLEISCH M.D. (NPI 1316967318) is an individual critical care medicine provider in Lehighton, Pennsylvania, licensed in Florida (ME125007) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard Rothfleisch M.d. 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.
Medicare Billing Reassignments
17Medicare enrollment records show Richard Rothfleisch reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Stroudsburg, PA 18301
- Reassigned Medicare billing, Pennsylvania enrollment
- 500 clinicians in this Medicare group
Buffalo, NY 14220
- Reassigned Medicare billing, New York enrollment
- 499 clinicians in this Medicare group
Belpre, OH 45714
- Reassigned Medicare billing, West Virginia enrollment
- 1,511 clinicians in this Medicare group
Elizabethtown, KY 42701
- Reassigned Medicare billing, Kentucky enrollment
- 967 clinicians in this Medicare group
Dawsonville, GA 30534
- Reassigned Medicare billing, Georgia enrollment
- 466 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 317 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 689 clinicians in this Medicare group
Evansville, IN 47714
- Reassigned Medicare billing, Indiana enrollment
- 34 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Crystal River, FL 34428
- Reassigned Medicare billing, Florida enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Hardin
Acute Care Hospitals · Elizabethtown, KYTaylor Regional Hospital
Acute Care Hospitals · Campbellsville, KYSt Francis Medical Center
Acute Care Hospitals · Monroe, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEHIGHTON, PA 18235
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 Richard Rothfleisch's NPI number?
The NPI number for Richard Rothfleisch is 1316967318. It was assigned to this individual provider in the NPPES registry on July 20, 2006.
Where is Richard Rothfleisch located?
Richard Rothfleisch practices at 281 N 12th St Suite Lla, Lehighton, PA 18235. The listed phone number is (610) 377-3933.
What is Richard Rothfleisch's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Richard Rothfleisch enrolled in Medicare?
Yes. Richard Rothfleisch 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.
Which organizations bill Medicare for Richard Rothfleisch's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Rothfleisch reassigns Medicare benefits to 17 organizations: Family Care Centers Inc (East Stroudsburg, PA), Mercy Hospital Of Buffalo (Buffalo, NY), Charleston Area Medical Center Inc (Belpre, OH), Baptist Health Medical Group Inc (Elizabethtown, KY), Northside Primary Care Professional Services, LLC (Dawsonville, GA) and 12 more organizations, listed in the Medicare section above. 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 Richard Rothfleisch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Rothfleisch accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Richard Rothfleisch 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 Richard Rothfleisch affiliated with any hospitals?
According to CMS data, Richard Rothfleisch is affiliated with Baptist Health Hardin, Taylor Regional Hospital and St Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Richard Rothfleisch was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Richard Rothfleisch, M.D. · NPI 1316967318
Critical Care Medicine physician in Lehighton, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 20, 2006.
## Identity
- **NPI:** 1316967318 (Entity type: Individual)
- **Enumerated:** July 20, 2006
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** ME125007 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 281 N 12TH ST, SUITE LLA, Lehighton, PA 18235-1101
- **Phone:** (610) 377-3933 · **Fax:** (610) 377-5211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 17 organizations under Medicare reassignment (form CMS-855R): Family Care Centers Inc (NPI 1316409626, East Stroudsburg, PA); Mercy Hospital Of Buffalo (NPI 1144262908, Buffalo, NY); Charleston Area Medical Center Inc (NPI 1588422547, Belpre, OH); Baptist Health Medical Group Inc (NPI 1093338527, Elizabethtown, KY); Northside Primary Care Professional Services, LLC (NPI 1215369715, Dawsonville, GA); and 12 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Medical College, class of 1985
## Record status
- **NPPES last updated:** May 27, 2026
- **Other identifiers:** Medicaid 001932090 (PA); Other PENDING (FL); Medicaid PENDING (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1316967318) · Data from the CMS NPPES public registry.