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SHEPHERD F ROSENBLUM M.D.
NPI 1568456341
Orthopaedic Surgery in Raleigh, NC

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment
88.4/100
CMS Quality Rating
3100 DURALEIGH RD, SUITE 100, RALEIGH, NC 27612(919) 788-8797(919) 788-8798 Get Directions Write a Review

NPPES record last updated: September 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shepherd F Rosenblum M.d. NPPES

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

SHEPHERD F ROSENBLUM M.D. (NPI 1568456341) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (9800374) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1988).

NPPES Registry Identity

NPI1568456341
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameSHEPHERD F ROSENBLUMCredential: M.D.
Location Address3100 DURALEIGH RD, SUITE 100Raleigh, NC 27612-8106
Mailing Address120 William Penn PlzDurham, NC 27704-2150 · (919) 220-5255 · Fax (919) 313-1276
Phone(919) 788-8797
Fax(919) 788-8798
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1988
Enumeration DateSeptember 7, 2005
Last NPPES UpdateSeptember 30, 2013
✔ NPI 1568456341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 9800374
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3100 DURALEIGH RD, Raleigh, NC 27612
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN2251875BNC
Medicaid8911292NC
Medicare UPINF95561NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Shepherd F Rosenblum 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 ID5496764896
PECOS Enrollment IDI20060412000620
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 11

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
788 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
277 services179 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
180 services114 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
158 services125 patients
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.
122 services98 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
70 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

88.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.91
Promoting Interoperability99
Improvement Activities40
Cost67.25

Reported Quality Measures

e-Prescribing
98%906 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
85%1,424 patients4/55-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.

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.

MR. DOUGLAS JOSEPH HOLCZER PT
Physical Therapist
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Wake County (919) 788-8797
SOUTHEASTERN IMAGING CONSULTANTS, LLC
Radiology (Body Imaging)
3100 DURALEIGH RD, SUITE 101
RALEIGH, NC 27612
Wake County (919) 785-9091
GRETCHEN RUTH CORRELL OT
Occupational Therapist (Hand)
3100 DURALEIGH RD, SUITE
RALEIGH, NC 27612
Wake County (919) 788-8797
MEREDITH BOYETTE
Audiologist
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 876-4327
NOVANT MEDICAL GROUP, INC.
Internal Medicine (Cardiovascular Disease)
3100 DURALEIGH RD
RALEIGH, NC 27612
Wake County (919) 232-0050
THOMAS JOHN SENA MD
Pediatrics
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 781-7490
RICHARD RYAN GESSNER MD
Pediatrics
3100 DURALEIGH RD, SUITE 300
RALEIGH, NC 27612
Wake County (919) 781-7490
MRS. MAUREEN ANN FONTANES RN
Registered Nurse
3100 DURALEIGH RD, SUITE 100
RALEIGH, NC 27612
Wake County (919) 571-6465

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 Shepherd Rosenblum's NPI number?

The NPI number for Shepherd Rosenblum is 1568456341. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Shepherd Rosenblum located?

Shepherd Rosenblum practices at 3100 Duraleigh Rd Suite 100, Raleigh, NC 27612. The listed phone number is (919) 788-8797.

What is Shepherd Rosenblum's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Shepherd Rosenblum enrolled in Medicare?

Yes. Shepherd Rosenblum 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 Shepherd Rosenblum accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Shepherd Rosenblum 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.

When was this NPI record last updated?

The NPPES record for Shepherd Rosenblum was last updated on September 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.