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DR. JAMES GARY ROSE M.D.
NPI 1497778112
Otolaryngology in Berlin, VT

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
130 FISHER RD, SUITE 3-1, BERLIN, VT 05602(802) 225-7025(802) 225-7104 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. James Gary Rose M.d. NPPES

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

DR. JAMES GARY ROSE M.D. (NPI 1497778112) is an individual otolaryngology provider in Berlin, Vermont, licensed in Vermont (042-0010379) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of University Of Vermont College Of Medicine (1983).

NPPES Registry Identity

NPI1497778112
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JAMES GARY ROSECredential: M.D.
Location Address130 FISHER RD, SUITE 3-1Berlin, VT 05602-9516
Mailing Address130 Fisher Rd, Suite 3-1Berlin, VT 05602-9516 · (802) 225-7025 · Fax (802) 225-7104
Phone(802) 225-7025
Fax(802) 225-7104
Sole ProprietorYes
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1983
Enumeration DateJuly 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497778112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in VT · 042-0010379
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
130 FISHER RD, Berlin, VT 05602
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Other Identifiers 4

Medicare UPINA52651
Other042-0010379UT · Licence
Medicare ID-Type UnspecifiedROVN3031
Medicaid1008758VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Gary Rose 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 ID8921168410
PECOS Enrollment IDI20081113000263
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.

Medicare Billing Reassignments

2

Medicare enrollment records show James Rose reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Vermont Medical Center Inc
Same address
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1831374362 (Vermont)
  • 562 clinicians in this Medicare group
NPI 1023028784 (802) 371-4100
University Of Vermont Medical Center Inc
36 mi
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
295 services204 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
241 services241 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
187 services133 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
116 services101 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
66 services57 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
54 services44 patients

Hospital Affiliations CMS Care Compare 2

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANDREA SWEET RN
Registered Nurse (Wound Care)
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4185
DAVID INDENBAUM MD
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4263
DEVIKA SINGH M.D.
Internal Medicine
130 FISHER RD, MOB-B SUITE 3
BERLIN, VT 05602
Washington County (802) 225-5400
CENTRAL VERMONT MEDICAL CENTER INC
Family Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
DR. RICHARD GERALD TAYLOR M.D.
Emergency Medicine
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE
BARRE, VT 05602
Washington County (802) 371-4100
MS. JESSICA LEIGH OLIVE PT
Physical Therapist
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-5909
BRETT ERDREICH
Internal Medicine (Pulmonary Disease)
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
JACQUELINE GALLAGHER PA
Physician Assistant
130 FISHER RD, EMERGENCY DEPT
BERLIN, VT 05602
Washington County (802) 371-4365

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 James Rose's NPI number?

The NPI number for James Rose is 1497778112. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is James Rose located?

James Rose practices at 130 Fisher Rd Suite 3-1, Berlin, VT 05602. The listed phone number is (802) 225-7025.

What is James Rose's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Rose enrolled in Medicare?

Yes. James Rose 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.

Which organizations bill Medicare for James Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Rose reassigns Medicare benefits to 2 organizations: Central Vermont Medical Center Inc (Berlin, VT) and University Of Vermont Medical Center Inc (Burlington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Rose accept?

Health plans from Anthem Blue Cross and Blue Shield list James Rose 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 James Rose affiliated with any hospitals?

According to CMS data, James Rose is affiliated with Central Vermont Medical Center and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for James Rose was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.