MR. GARY BERNARD ROSEN M.D.
NPI 1568560688
Dermatology in Maple Grove, MN

Active since September 20, 2006PECOS Enrolled
9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-1440 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gary Bernard Rosen M.d. NPPES

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

MR. GARY BERNARD ROSEN M.D. (NPI 1568560688) is an individual dermatology provider in Maple Grove, Minnesota, licensed in Minnesota (63613) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Largo.

NPPES Registry Identity

NPI1568560688
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMR. GARY BERNARD ROSENCredential: M.D.
Location Address9555 UPLAND LN NMaple Grove, MN 55369-4485
Mailing Address9555 Upland Ln NMaple Grove, MN 55369-4485 · (952) 993-1440
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 26, 2018
NPI 1568560688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in MN · 63613 Licensed in FL · ME100082
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedSpecialistTaxonomy 174400000X · License G68293 (CA)
9555 UPLAND LN N, Maple Grove, MN 55369

Secondary Practice Location 1

Location 18250 Bryan Dairy Rd, Suite 250Largo, FL 33777-1353 · Phone (727) 393-5300 · Fax (727) 393-5301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Gary Bernard Rosen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Internal Medicine
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Pediatrics
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Adult Health)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Clinic/Center
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
9555 UPLAND LN N, BEHAVIORAL HEALTH, 3RD FLOOR
MAPLE GROVE, MN 55369
Psychologist (Clinical Child & Adolescent)
9555 UPLAND LN N
MAPLE GROVE, MN 55369

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568560688, enumerated as an "individual" on September 20, 2006.

The provider is located at 9555 UPLAND LN N MAPLE GROVE, MN 55369 and the phone number is (952) 993-1440.

Dermatology with taxonomy code 207N00000X.