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LUKE DANIEL ROTHERMEL
NPI 1801113873
Surgery - Surgical Oncology in Cleveland, OH

Active since April 29, 2010PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
11100 EUCLID AVENUE, CLEVELAND, OH 44106(216) 844-3027 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jan 9, 2021, Jul 1, 2019 (3 updates tracked since 2019).

About Luke Daniel Rothermel NPPES

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

LUKE DANIEL ROTHERMEL (NPI 1801113873) is an individual surgical oncology provider in Cleveland, Ohio, licensed in Ohio (35.099656) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Wright State University Boonshoft School Of Medicine (2010).

NPPES Registry Identity

NPI1801113873
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameLUKE DANIEL ROTHERMEL
Location Address11100 EUCLID AVENUECleveland, OH 44106-5047
Mailing Address8055 Mayfield Rd Ste 105Chesterland, OH 44026-2447
Phone(216) 844-3027
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2010
Enumeration DateApril 29, 2010
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1801113873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in OH · 35.099656
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
11100 EUCLID AVENUE, Cleveland, OH 44106
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Luke Daniel Rothermel 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 ID8628215381
PECOS Enrollment IDI20190801000359
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.

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.
55 services55 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.
47 services30 patients
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.
35 services19 patients
Injection of radioactive material for x-ray identification of lymph node 38792
This procedure involves injecting a safe radioactive substance into your body. It travels to your lymph nodes, making them visible on X-ray images. This helps in identifying any abnormal nodes for further examination. It's a standard part of many diagnostic processes.
28 services28 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
21 services21 patients
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606
This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.
19 services19 patients

Hospital Affiliations CMS Care Compare 5

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360041
Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360137
Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

MARY NOCK MD
Pediatrics (Neonatal-Perinatal Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7700
ANNE STORMORKEN MD
Pediatrics (Pediatric Critical Care Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7700
JIHANE FARESS MD
Internal Medicine
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-8500
DR. KATHERINE APPLETON DOWNES MD
Pathology (Clinical Pathology/Laboratory Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7494
JOANN EISENBERG CRNA
Nurse Anesthetist, Certified Registered
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7330
DR. JUDY ZHUO JIN MD
Surgery
11100 EUCLID AVENUE, DEPARTMENT OF SURGERY
CLEVELAND, OH 44106
Cuyahoga County (216) 844-3099
CHRISTOPHER DAVID GEIGER
Psychiatry & Neurology (Neurology)
11100 EUCLID AVENUE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Cuyahoga County (216) 844-1000
REGINA M ROSACE MD
Pediatrics (Pediatric Emergency Medicine)
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Cuyahoga County (216) 844-7700

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 Luke Rothermel's NPI number?

The NPI number for Luke Rothermel is 1801113873. It was assigned to this individual provider in the NPPES registry on April 29, 2010.

Where is Luke Rothermel located?

Luke Rothermel practices at 11100 Euclid Avenue, Cleveland, OH 44106. The listed phone number is (216) 844-3027.

What is Luke Rothermel's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Luke Rothermel enrolled in Medicare?

Yes. Luke Rothermel 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 Luke Rothermel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Luke Rothermel 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 Luke Rothermel affiliated with any hospitals?

According to CMS data, Luke Rothermel is affiliated with Parma Community General Hospital, Uh Regional Hospitals, University Hospitals Portage Medical Center, Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Luke Rothermel was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.