ROBERT ROTHBAUM M.D.
NPI 1679921381
Dermatology in Sheboygan, WI
About Robert Rothbaum M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT ROTHBAUM M.D. (NPI 1679921381) is an individual dermatology provider in Sheboygan, Wisconsin, licensed in Wisconsin (3873-320) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Boston University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
Robert Rothbaum 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.
Medicare Billing Reassignments
2Medicare enrollment records show Robert Rothbaum reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Park Ridge, IL 60068
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Advocate Health And Hospitals Corporation
- 4,870 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SHEBOYGAN, WI 53081
SHEBOYGAN, WI 53081
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 Robert Rothbaum's NPI number?
The NPI number for Robert Rothbaum is 1679921381. It was assigned to this individual provider in the NPPES registry on June 3, 2016.
Where is Robert Rothbaum located?
Robert Rothbaum practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.
What is Robert Rothbaum's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Robert Rothbaum enrolled in Medicare?
Yes. Robert Rothbaum 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 Robert Rothbaum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Rothbaum reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (Sheboygan, WI) and Lutheran General Hospital (Park Ridge, IL). 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 Robert Rothbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Robert Rothbaum accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 1 other insurer list Robert Rothbaum 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 Robert Rothbaum was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
# Robert Rothbaum, M.D. · NPI 1679921381
Dermatology physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since June 3, 2016.
## Identity
- **NPI:** 1679921381 (Entity type: Individual)
- **Enumerated:** June 3, 2016
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 3873-320 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081-3129
- **Phone:** (920) 457-4461
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI); Lutheran General Hospital (NPI 1801809306, Park Ridge, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 18, 2026
- **Other identifiers:** Medicaid 100284235 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1679921381) · Data from the CMS NPPES public registry.