RICHARD BARRY ROTHMAN M.D.
NPI 1356310155
Internal Medicine in Staten Island, NY

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
375 SEGUINE AVE, STATEN ISLAND UNIVERSITY HOSPITAL, SOUTH SITE, STATEN ISLAND, NY 10309(718) 226-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Richard Barry Rothman M.d. NPPES

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

RICHARD BARRY ROTHMAN M.D. (NPI 1356310155) is an individual internal medicine provider in Staten Island, New York, licensed in New York (159327) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Richmond University Medical Center, and is a graduate of State University Of Ny Upstate Medical University (1982).

NPPES Registry Identity

NPI1356310155
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRICHARD BARRY ROTHMANCredential: M.D.
Location Address375 SEGUINE AVE, STATEN ISLAND UNIVERSITY HOSPITAL, SOUTH SITEStaten Island, NY 10309
Mailing Address80 Richmond Hill Rd, Apt. 4iStaten Island, NY 10314-7581 · (718) 477-2542
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1982
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356310155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NY · 159327 Licensed in NJ · MA48558
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

375 SEGUINE AVE, Staten Island, NY 10309

Other Identifiers 1

Medicaid00159327NY

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 Barry Rothman 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 ID7517865983
PECOS Enrollment IDI20031222000882
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 70 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.
222 services212 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
159 services157 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
93 services91 patients

Hospital Affiliations CMS Care Compare 2

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

Richmond University Medical Center

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330028
Location355 Bard AvenueStaten Island, NY 10310 · Richmond County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10309 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Urology
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Pediatrics (Adolescent Medicine)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Psychiatry & Neurology (Psychiatry)
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Internal Medicine
375 SEGUINE AVE
STATEN ISLAND, NY 10309
Internal Medicine (Cardiovascular Disease)
375 SEGUINE AVE, STATEN ISLAND UNIVERSITY HOSPITAL SOUTH, FLOOR 2
STATEN ISLAND, NY 10309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356310155, enumerated as an "individual" on March 15, 2006.

The provider is located at 375 SEGUINE AVE STATEN ISLAND UNIVERSITY HOSPITAL, SOUTH SITE STATEN ISLAND, NY 10309 and the phone number is (718) 226-2000.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Richard Rothman is affiliated with: RICHMOND UNIVERSITY MEDICAL CENTER and STATEN ISLAND UNIVERSITY HOSPITAL.