1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Internal Medicine
  6. NPI Profile

DONALD R ROSE JR. MD
NPI 1851351951
Internal Medicine - Endocrinology, Diabetes & Metabolism in Winston Salem, NC

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
755 HIGHLAND OAKS DR, SUITE 201, WINSTON SALEM, NC 27103(336) 765-0020(336) 765-0581 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Donald R Rose Jr. Md NPPES

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

DONALD R ROSE JR. MD (NPI 1851351951) is an individual endocrinology, diabetes & metabolism provider in Winston Salem, North Carolina, licensed in North Carolina (9600712) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1851351951
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDONALD R ROSE JR.Credential: MD
Location Address755 HIGHLAND OAKS DR, SUITE 201Winston Salem, NC 27103-7106
Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 765-0020 · Fax (336) 765-0581
Phone(336) 765-0020
Fax(336) 765-0581
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1851351951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NC · 9600712
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

755 HIGHLAND OAKS DR, Winston Salem, NC 27103
Open in Google Maps ↗

Other Identifiers 2

Medicaid891068HNC
Medicaid1851351951VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Donald R Rose Jr. 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 ID6608820816
PECOS Enrollment IDI20050310000506
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, 40-54 minutes 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.
362 services205 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
126 services27 patients
New patient office or other outpatient visit, 60-74 minutes 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.
34 services34 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
27 services27 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
23 services15 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
92%167 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
90%72 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%221 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%246 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
72%104 patients3/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
9%139 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers22 claims269 services$18.86 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers22 claims660 services$2.38 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers102 claims382 services$6.12 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers12 claims12 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers35 claims79 services$1.17 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier18 claims18 services$301.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DIANA E LIZARDO-MORALES MD
Family Medicine
755 HIGHLAND OAKS DR, STE 202
WINSTON-SALEM, NC 27103
Forsyth County (336) 760-0070
MR. ANTHONY TONOS MD
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 202
WINSTON SALEM, NC 27103
Forsyth County (336) 760-0070
ICLINIC, PA
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 202
WINSTON-SALEM, NC 27103
Forsyth County (336) 760-0070
ANNE CATH MD PLLC
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 102
WINSTON SALEM, NC 27103
Forsyth County (336) 768-4460
LLOYD J STORY MD, PA
Internal Medicine
755 HIGHLAND OAKS DR, SUITE 102
WINSTON SALEM, NC 27103
Forsyth County (336) 768-4460
NEAL HAMILTON GUFFEY, JR. MD PLLC
Family Medicine
755 HIGHLAND OAKS DR, SUITE 102
WINSTON SALEM, NC 27103
Forsyth County (336) 768-4460
FIFTH RIVER MENTAL HEALTH
Psychiatry & Neurology (Psychiatry)
755 HIGHLAND OAKS DR, SUITE 202
WINSTON SALEM, NC 27103
Forsyth County (336) 608-4060
LARRY KEITH CANTLEY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
755 HIGHLAND OAKS DR, SUITE 201
WINSTON SALEM, NC 27103
Forsyth County (336) 765-0020

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 Donald Rose's NPI number?

The NPI number for Donald Rose is 1851351951. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Donald Rose located?

Donald Rose practices at 755 Highland Oaks Dr Suite 201, Winston Salem, NC 27103. The listed phone number is (336) 765-0020.

What is Donald Rose's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Donald Rose enrolled in Medicare?

Yes. Donald Rose 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 Donald Rose accept?

Health plans from Blue Cross and Blue Shield of NC list Donald Rose 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 Donald Rose affiliated with any hospitals?

According to CMS data, Donald Rose is affiliated with Novant Health Forsyth Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Rose was last updated on October 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.