DR. DOUGLAS W ROOKSTOOL M.D.
NPI 1497756563
Hospitalist in Lafayette, IN

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
1701 S CREASY LN, LAFAYETTE, IN 47905(765) 502-4000(765) 502-4709 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 23, 2023, Apr 21, 2022, Mar 20, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Douglas W Rookstool M.d. NPPES

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

DR. DOUGLAS W ROOKSTOOL M.D. (NPI 1497756563) is an individual hospitalist provider in Lafayette, Indiana, licensed in Indiana (01046778A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crawfordsville, and is a graduate of Indiana University School Of Medicine (1994).

NPPES Registry Identity

NPI1497756563
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DOUGLAS W ROOKSTOOLCredential: M.D.
Location Address1701 S CREASY LNLafayette, IN 47905-4972
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(765) 502-4709
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1994
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 23, 20234 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
NPI 1497756563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in IN · 01046778A
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 01046778A (IN)
1701 S CREASY LN, Lafayette, IN 47905

Other Identifiers 2

Medicaid200093580IN
OtherP00465475IN · Rr Medicare

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

Dr. Douglas W Rookstool 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 ID42286668
PECOS Enrollment IDI20040904000141
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 6

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.
409 services176 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.
196 services185 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.
77 services54 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 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.
65 services62 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
58 services38 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Franciscan Health Crawfordsville

Acute Care Hospitals · Crawfordsville, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150022
Location1710 Lafayette RdCrawfordsville, IN 47933 · Montgomery County
Emergency services

Franciscan Health Lafayette

Acute Care Hospitals · Lafayette, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150109
Location1701 S Creasy LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47905 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%242 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers35 claims35 services$16.12 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers37 claims37 services$7.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers56 claims56 services$87.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$34.52 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.

Occupational Therapist
1701 S CREASY LN
LAFAYETTE, IN 47905
Physician Assistant
1701 S CREASY LN
LAFAYETTE, IN 47905
Hospitalist
1701 S CREASY LN
LAFAYETTE, IN 47905
Physician Assistant
1701 S CREASY LN
LAFAYETTE, IN 47905
Registered Nurse
1701 S CREASY LN
LAFAYETTE, IN 47905
Pathology (Anatomic Pathology & Clinical Pathology)
1701 S CREASY LN
LAFAYETTE, IN 47905
Emergency Medicine
1701 S CREASY LN
LAFAYETTE, IN 47905
Registered Nurse (Obstetric, Inpatient)
1701 S CREASY LN
LAFAYETTE, IN 47905

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 Douglas Rookstool's NPI number?

The NPI number for Douglas Rookstool is 1497756563. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Douglas Rookstool located?

Douglas Rookstool practices at 1701 S Creasy Ln, Lafayette, IN 47905. The listed phone number is (765) 502-4000.

What is Douglas Rookstool's specialty?

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

Is Douglas Rookstool enrolled in Medicare?

Yes. Douglas Rookstool 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 Douglas Rookstool accept?

Health plans from CareSource list Douglas Rookstool 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 Douglas Rookstool affiliated with any hospitals?

According to CMS data, Douglas Rookstool is affiliated with Franciscan Health Crawfordsville and Franciscan Health Lafayette.

When was this NPI record last updated?

The NPPES record for Douglas Rookstool was last updated on October 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.