JUSTIN P. ROSENHECK DO
NPI 1548681679
Internal Medicine - Pulmonary Disease in Columbus, OH

Q: What is Justin Rosenheck's NPI number?

The NPI number for Justin Rosenheck is 1548681679. It was assigned to this individual provider in the NPPES registry on December 16, 2013.

Q: What is Justin Rosenheck's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Justin Rosenheck was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since December 16, 2013PECOS EnrolledAccepts Medicare Assignment

95.31/100

CMS Quality Rating

452 W 10TH AVE, COLUMBUS, OH 43210(614) 293-7677(614) 293-1456 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 17, 2025, Mar 19, 2021, Aug 26, 2019 (3 updates tracked since 2019).

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About Justin P. Rosenheck Do NPPES

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

JUSTIN P. ROSENHECK DO (NPI 1548681679) is an individual pulmonary disease provider in Columbus, Ohio, licensed in Ohio (34.014043) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel East & West, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1548681679

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameJUSTIN P. ROSENHECKCredential: DO

Location Address452 W 10TH AVEColumbus, OH 43210-1240

Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7677 · Fax (614) 293-1456

Phone(614) 293-7677

Fax(614) 293-1456

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 16, 2013

Last NPPES UpdateFebruary 17, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 17, 2025

✔ NPI 1548681679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 34.014043

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 34.014043 (OH)

452 W 10TH AVE, Columbus, OH 43210

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Justin P. Rosenheck Do 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 ID9638397474

PECOS Enrollment IDI20190925002836

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 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.

80 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

70 services48 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

27 services22 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

21 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360085

Location410 West 10th AvenueColumbus, OH 43210 · Franklin County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

95.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.58

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 10

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

3 suppliers28 claims28 services$35.42 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

5 suppliers42 claims42 services$91.49 avg. paid by Medicare

Azathioprine, oral, 50 mg J7500

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers22 claims1,200 services$2.26 avg. paid by Medicare

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503

Treatment-Chemotherapy · category RH002N

1 supplier21 claims9,960 services$1.21 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

21 suppliers181 claims15,695 services$0.32 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

5 suppliers108 claims17,610 services$0.01 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.

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