DALE E ROZEBOOM MD
NPI 1346281656
Obstetrics & Gynecology in Janesville, WI
NPI Status: Active since June 09, 2006
Contact Information
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
Phone: (608) 371-8000
Fax: (608) 371-8928
- Individual
- Male
- Years of Experience 42
- Obstetrics & Gynecology
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About DALE ROZEBOOM
This page provides the complete NPI Profile along with additional information for Dale Rozeboom, a women's health care provider established in Janesville, Wisconsin with a medical specialization in Obstetrics & Gynecology and more than 42 years of experience. He graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1984. The healthcare provider is registered in the NPI registry with number 1346281656 assigned on June 2006. The practitioner's primary taxonomy code is 207V00000X with license number 29170-020 (WI). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1346281656
- Provider Name
- DALE E ROZEBOOM MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3200 E RACINE ST JANESVILLE, WI 53546
- Location Phone
- (608) 371-8000
- Location Fax
- (608) 371-8928
- Mailing Address
- 3200 E RACINE ST JANESVILLE, WI 53546
- Mailing Phone
- (608) 371-8000
- Mailing Fax
- (608) 371-8928
- Medical School Name
- UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
- Graduation Year
- 1984
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-09-2006
- Last Update Date
- 11-30-2020
- Code Navigator
Women's health care providers like Dale Rozeboom treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29170-020
- License State
- WI
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Dean Bronze $0 Copay PCP Visits - HMO
- Dean Bronze Share - HMO
- Dean Catastrophic - HMO
- Dean Expanded Bronze Standard - HMO
- Dean Focus Bronze $0 Copay PCP Visits - EPO
- Dean Focus Bronze Share - EPO
- Dean Focus Catastrophic - EPO
- Dean Focus Expanded Bronze Standard - EPO
- Dean Focus Gold HSA - EPO
- Dean Focus Gold Share - EPO
- Dean Focus Gold Standard - EPO
- Dean Focus Silver $0 Copay PCP Visits - EPO
- Dean Focus Silver Share - EPO
- Dean Focus Silver Standard - EPO
- Dean Gold HSA - HMO
- Dean Gold Share - HMO
- Dean Gold Standard - HMO
- Dean Silver $0 Copay PCP Visits - HMO
- Dean Silver Share - HMO
- Dean Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
1346281656 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Dale Rozeboom is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Dale Rozeboom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9436289212
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100605000200
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 58 times for 45 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.92 for a new patient copayment and $16.84 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53546 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $123.69
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $30.92
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Colorectal Cancer Screening | 41% | 37 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Pneumococcal Vaccination Status for Older Adults | 93% | 45 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 24% | 63 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Screening for Osteoporosis for Women Aged 65-85 Years of Age | 73% | 40 |
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dale Rozeboom is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE | 3400 EAST RACINE STREET JANESVILLE, WI 53546 | (608) 373-8000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 4 | 6 | 2 | 8 | 1 | 6 | 5 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 8 | 6 | 4 | 8 | 2 | 6 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 8 + 6 + 4 + 8 + 2 + 6 + 1 + 0 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1346281656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MARK E LANSER MD
Psychiatry & Neurology
(Neurology)
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
JOHN J DOWNING MD
Ophthalmology
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
CYNTHIA M STENAVICH RD
Dietitian, Registered
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
MR. GARY ALLEN OLSON PT
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
MRS. MELISSA ANN STASKAL PT
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
MR. WILLIAM R. CANOVAN P.T.
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
DR. ANGELA C JANIS M.D.
Psychiatry & Neurology
(Psychiatry)
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
PATRICK JOHN BARANOWSKI PHARM.D.
Pharmacist
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
DANIEL T PETERSON MD
Internal Medicine
(Cardiovascular Disease)
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
MICHELLE B ESCH PA-C
Physician Assistant
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
WARREN R ELLISON MD
Otolaryngology
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
BRETT D GOETTSCH MD
Family Medicine
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
WILLIAM N BRANDT MD
Internal Medicine
(Gastroenterology)
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
DALE E MILLER MD
Internal Medicine
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
STEVEN P MACIOLEK MD
Internal Medicine
(Rheumatology)
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
JOHN M ZIEGLER MD
Pediatrics
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
JOHN R KEENER MD
Family Medicine
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
DEBRA L MILLS PA-C
Physician Assistant
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
PATRICK D MEYER MD
Pediatrics
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
BRITTON STRAUB
Specialist/Technologist
(Athletic Trainer)
3200 E RACINE ST
JANESVILLE, WI
ZIP 53546
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346281656, enumerated as an "individual" on June 09, 2006.
The provider is located at 3200 E RACINE ST JANESVILLE, WI 53546 and the phone number is (608) 371-8000.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Dean Health. Please consult your insurance carrier or call the provider to verify.
Dale Rozeboom is affiliated with: SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE.