EDWARD H. ROTHBERGER M.D.
NPI 1356307870
Hospitalist in Milwaukie, OR

Active since April 24, 2006PECOS EnrolledAccepts Medicare Assignment
87.76/100
CMS Quality Rating
10150 SE 32ND AVE, MILWAUKIE, OR 97222(503) 513-8300 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2021, Oct 20, 2020, Apr 13, 2017 (3 updates tracked since 2017).

About Edward H. Rothberger M.d. NPPES

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

EDWARD H. ROTHBERGER M.D. (NPI 1356307870) is an individual hospitalist provider in Milwaukie, Oregon, licensed in Oregon (MD26662) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Newberg Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1356307870
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameEDWARD H. ROTHBERGERCredential: M.D.
Location Address10150 SE 32ND AVEMilwaukie, OR 97222-6516
Mailing AddressPo Box 3158, Providence Milwaukie HospitalPortland, OR 97208-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 24, 2006
Last NPPES UpdateNovember 12, 20213 updates tracked since enumeration
NPPES CertifiedNovember 12, 2021
NPI 1356307870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OR · MD26662
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD26662 (OR)
10150 SE 32ND AVE, Milwaukie, OR 97222

Other Identifiers 1

OtherP00451467OR · Rr Medicare (ph&s)-pmg

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

Edward H. Rothberger 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 ID446276455
PECOS Enrollment IDI20070523000291
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 4

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
71 services33 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.
51 services34 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
37 services36 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97222 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

87.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.17
Promoting Interoperability100
Improvement Activities40
Cost74.03

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.

Internal Medicine (Gastroenterology)
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Internal Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Hospitalist
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Emergency Medicine
10150 SE 32ND AVE
PORTLAND, OR 97222
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222
General Acute Care Hospital
10150 SE 32ND AVE
MILWAUKIE, OR 97222
Emergency Medicine
10150 SE 32ND AVE
MILWAUKIE, OR 97222

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 Edward Rothberger's NPI number?

The NPI number for Edward Rothberger is 1356307870. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Edward Rothberger located?

Edward Rothberger practices at 10150 SE 32nd Ave, Milwaukie, OR 97222. The listed phone number is (503) 513-8300.

What is Edward Rothberger's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Edward Rothberger enrolled in Medicare?

Yes. Edward Rothberger 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 Edward Rothberger affiliated with any hospitals?

According to CMS data, Edward Rothberger is affiliated with Providence Newberg Medical Center, Providence Willamette Falls Medical Center and Providence Milwaukie Hospital.

When was this NPI record last updated?

The NPPES record for Edward Rothberger was last updated on November 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.