ELAINE SMITH ROTHENBACH PA
NPI 1699025957
Internal Medicine in Charlotte, NC

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1225 HARDING PL, STE 5100, CHARLOTTE, NC 28204(704) 355-8850 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 10 more (13 updates tracked since 2016).

About Elaine Smith Rothenbach Pa NPPES

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

ELAINE SMITH ROTHENBACH PA (NPI 1699025957) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (0010-04594) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Cleveland, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1699025957
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELAINE SMITH ROTHENBACHCredential: PA
Location Address1225 HARDING PL, STE 5100Charlotte, NC 28204-2826
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJuly 28, 202513 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
NPI 1699025957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 0010-04594
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 0010-04594 (NC)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-04594 (NC)
1225 HARDING PL, Charlotte, NC 28204

Secondary Practice Locations 4

Location 116455 Statesville Rd, Ste 200Huntersville, NC 28078-7135 · Phone (704) 801-3011
Location 2101 E W T Harris Blvd, Ste 5401Charlotte, NC 28262-3485 · Phone (704) 863-1400
Location 310650 Park Rd, Ste 480Charlotte, NC 28210-8538 · Phone (704) 667-0520
Location 41025 Morehead Medical Dr, Ste 300Charlotte, NC 28204-2963 · Phone (704) 355-4593

Accepted 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

Elaine Smith Rothenbach Pa 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 ID8123318235
PECOS Enrollment IDI20211009000086
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 5

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 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.
87 services78 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 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.
25 services23 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.
19 services19 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Urology
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1225 HARDING PL, STE 2100
CHARLOTTE, NC 28204
Nurse Practitioner
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Psychiatry & Neurology (Neurology)
1225 HARDING PL, STE 4100
CHARLOTTE, NC 28204
Physician Assistant
1225 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Internal Medicine (Gastroenterology)
1225 HARDING PL, STE 5100
CHARLOTTE, NC 28204

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 Elaine Rothenbach's NPI number?

The NPI number for Elaine Rothenbach is 1699025957. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Elaine Rothenbach located?

Elaine Rothenbach practices at 1225 Harding Pl Ste 5100, Charlotte, NC 28204. The listed phone number is (704) 355-8850.

What is Elaine Rothenbach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Elaine Rothenbach enrolled in Medicare?

Yes. Elaine Rothenbach 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 Elaine Rothenbach accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Elaine Rothenbach 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 Elaine Rothenbach affiliated with any hospitals?

According to CMS data, Elaine Rothenbach is affiliated with Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Elaine Rothenbach was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.