TINA M ROZENE M.D.
NPI 1467489807
Pediatrics in Effingham, IL

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
300 N MAPLE ST, EFFINGHAM, IL 62401(217) 342-4151(217) 347-0108 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2020, Dec 10, 2015 (2 updates tracked since 2015).

About Tina M Rozene M.d. NPPES

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

TINA M ROZENE M.D. (NPI 1467489807) is an individual pediatrics provider in Effingham, Illinois, licensed in Illinois (036094764) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (1998).

NPPES Registry Identity

NPI1467489807
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTINA M ROZENECredential: M.D.
Location Address300 N MAPLE STEffingham, IL 62401-2003
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Fax(217) 347-0108
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 1998
Enumeration DateJune 28, 2006
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
NPI 1467489807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036094764
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036094764 (IL)
300 N MAPLE ST, Effingham, IL 62401

Other Names 1

Former Name (1)Tina M Schrader M.d.

Other Identifiers 5

Other386900IL · Healthlink #
Medicaid036094764IL
Other054508IL · Health Alliance #
Other370012295IL · Railroad Medicare/palmetto Gba
Other2523659IL · Bc/bs #

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

Tina M Rozene 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 ID9739140294
PECOS Enrollment IDI20050211000237
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
367 services282 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
275 services24 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
44 services36 patients

Hospital Affiliations CMS Care Compare 5

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL
OwnershipVoluntary non-profit - Other
CMS Certification Number141346
Location650 W Taylor StVandalia, IL 62471 · Fayette County
Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 24

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers100 claims189 services$6.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers27 claims27 services$43.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers31 claims31 services$111.18 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers31 claims56 services$40.39 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers12 claims68 services$17.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$72.44 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 20

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

Internal Medicine (Cardiovascular Disease)
300 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
300 N MAPLE ST
EFFINGHAM, IL 62401
Internal Medicine
300 N MAPLE ST
EFFINGHAM, IL 62401
Clinic/Center (Rural Health)
300 N MAPLE ST
EFFINGHAM, IL 62401
Dermatology
300 N MAPLE ST
EFFINGHAM, IL 62401
Surgery
300 N MAPLE ST
EFFINGHAM, IL 62401
Surgery
300 N MAPLE ST
EFFINGHAM, IL 62401
Nurse Practitioner (Family)
300 N MAPLE ST
EFFINGHAM, IL 62401

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 Tina Rozene's NPI number?

The NPI number for Tina Rozene is 1467489807. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Tina M Schrader M.D..

Where is Tina Rozene located?

Tina Rozene practices at 300 N Maple St, Effingham, IL 62401. The listed phone number is (217) 342-4151.

What is Tina Rozene's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tina Rozene enrolled in Medicare?

Yes. Tina Rozene 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 Tina Rozene affiliated with any hospitals?

According to CMS data, Tina Rozene is affiliated with St Anthonys Memorial Hospital, Memorial Medical Center, Sarah Bush Lincoln Health Center, Fayette County Hospital and Clay County Hospital.

When was this NPI record last updated?

The NPPES record for Tina Rozene was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.