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DR. MICHAEL BRYAN ROTHBERG MD
NPI 1700232477
Urology in Durham, NC

Active since May 11, 2016PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
DUKE CANCER CENTER GENITOURINARY CLINIC 5-1, 20 DUKE MEDICINE CIRCLE, DURHAM, NC 27710(919) 668-6688 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 26, 2022, Jun 21, 2021, May 11, 2016 (3 updates tracked since 2016).

About Dr. Michael Bryan Rothberg Md NPPES

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

DR. MICHAEL BRYAN ROTHBERG MD (NPI 1700232477) is an individual urology provider in Durham, North Carolina, licensed in North Carolina (2023-02682) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of New York Medical College (2015).

NPPES Registry Identity

NPI1700232477
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. MICHAEL BRYAN ROTHBERGCredential: MD
Location AddressDUKE CANCER CENTER GENITOURINARY CLINIC 5-1, 20 DUKE MEDICINE CIRCLEDurham, NC 27710
Mailing Address40 Duke Medicine Circle, Dumc 3707Durham, NC 27710 · (919) 681-8760
Phone(919) 668-6688
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2015
Enumeration DateMay 11, 2016
Last NPPES UpdateSeptember 20, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1700232477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NC · 2023-02682
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
DUKE CANCER CENTER GENITOURINARY CLINIC 5-1, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Dr. Michael Bryan Rothberg Md 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 ID9133412455
PECOS Enrollment IDI20231116001672
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 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.

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.
163 services100 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
61 services61 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
57 services57 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
52 services51 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
18 services13 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

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 Michael Rothberg's NPI number?

The NPI number for Michael Rothberg is 1700232477. It was assigned to this individual provider in the NPPES registry on May 11, 2016.

Where is Michael Rothberg located?

Michael Rothberg practices at Duke Cancer Center Genitourinary Clinic 5-1 20 Duke Medicine Circle, Durham, NC 27710. The listed phone number is (919) 668-6688.

What is Michael Rothberg's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Michael Rothberg enrolled in Medicare?

Yes. Michael Rothberg 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 Michael Rothberg accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Michael Rothberg 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 Michael Rothberg affiliated with any hospitals?

According to CMS data, Michael Rothberg is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Rothberg was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.