RICHARD ROTHFLEISCH M.D.
NPI 1316967318
Internal Medicine - Critical Care Medicine in Lehighton, PA

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
281 N 12TH ST, SUITE LLA, LEHIGHTON, PA 18235(610) 377-3933(610) 377-5211 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2026, Sep 12, 2025, Jun 4, 2021 and 4 more (7 updates tracked since 2015).

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

NPI1316967318
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameRICHARD ROTHFLEISCHCredential: M.D.
Location Address281 N 12TH ST, SUITE LLALehighton, PA 18235-1101
Mailing Address281 N 12th St Ste LlaLehighton, PA 18235-1133 · (610) 377-3933 · Fax (610) 377-5211
Fax(610) 377-5211
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1985
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 27, 20267 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
NPI 1316967318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in FL · ME125007 Licensed in IN · 01074051A Licensed in WA · MD60543630 Licensed in NM · MD2015-0834
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License MD420920 (PA), 01074051A (IN), 207562 (LA), 0101042416 (VA), ME125007 (FL)
Also ListedHospitalistTaxonomy 208M00000X · License 207562 (LA)
281 N 12TH ST, Lehighton, PA 18235

Secondary Practice Locations 2

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543
Location 21350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-4225

Other Identifiers 3

Medicaid001932090PA
OtherPENDINGFL · Hfmg
MedicaidPENDINGFL

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

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.

PECOS PAC ID8729177423
PECOS Enrollment IDI20150224000635, I20230719003216, I20251212003493
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 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.

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.
56 services50 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.
16 services12 patients

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, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

St Francis Medical Center

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190125
Location309 Jackson StreetMonroe, LA 71201 · Ouachita County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
2 suppliers12 claims12 services$886.76 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 17

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

Advanced Practice Midwife
281 N 12TH ST
LEHIGHTON, PA 18235
Internal Medicine
281 N 12TH ST, SUITE B
LEHIGHTON, PA 18235
Internal Medicine
281 N 12TH ST, SUITE B
LEHIGHTON, PA 18235
Obstetrics & Gynecology
281 N 12TH ST, SUITE F
LEHIGHTON, PA 18235
Pediatrics
281 N 12TH ST, SUITE E
LEHIGHTON, PA 18235
Pediatrics
281 N 12TH ST, SUITE E
LEHIGHTON, PA 18235
Obstetrics & Gynecology
281 N 12TH ST, SUITE A
LEHIGHTON, PA 18235
Surgery
281 N 12TH ST
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.

What insurance does Richard Rothfleisch accept?

Health plans from CareSource and HMO Louisiana 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, St Francis Medical Center and Charleston Area 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 2 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.