ALAN C ROTHROCK MD
NPI 1811925704
Internal Medicine in Jackson, TN

Q: What is Alan Rothrock's NPI number?

The NPI number for Alan Rothrock is 1811925704. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Q: What is Alan Rothrock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alan Rothrock was last updated on October 2, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment

92.69/100

CMS Quality Rating

2859 HIGHWAY 45 BYP, JACKSON, TN 38305(731) 660-8360(731) 660-8377 Get Directions Write a Review

NPPES record last updated: October 2, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alan C Rothrock Md NPPES

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

ALAN C ROTHROCK MD (NPI 1811925704) is an individual internal medicine provider in Jackson, Tennessee, licensed in Tennessee (41493) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of East Tennessee State University Quillen College Of Medicine (2002).

NPPES Registry Identity

NPI1811925704

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameALAN C ROTHROCKCredential: MD

Location Address2859 HIGHWAY 45 BYPJackson, TN 38305-3618

Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 423-8697 · Fax (731) 422-5743

Phone(731) 660-8360

Fax(731) 660-8377

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2002

Enumeration DateJune 29, 2006

Last NPPES UpdateOctober 2, 2017

✔ NPI 1811925704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 41493

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.

2859 HIGHWAY 45 BYP, Jackson, TN 38305

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Other Identifiers 4

Medicare PIN3822188TN

Medicare UPINI32393

Medicaid3822188TN

Medicare PINP00337138TN

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

Alan C Rothrock 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 ID1759327174

PECOS Enrollment IDI20061026000547

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

588 services204 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

166 services161 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

150 services78 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

122 services85 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

53 services53 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

West Tennessee Healthcare Milan Hospital

Acute Care Hospitals · Milan, TN

OwnershipGovernment - Local

CMS Certification Number440060

Location4039 Highland StMilan, TN 38358 · Gibson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

92.69/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.39

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers85 claims85 services$18.23 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers106 claims106 services$97.18 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier15 claims15 services$20.04 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier15 claims15 services$8.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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