DR. SETH IAN ROSENTHAL MD
NPI 1871630350
Pathology - Dermatopathology in Lexington, MA

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
81.97/100
CMS Quality Rating
1 CRANBERRY HL STE 105, LEXINGTON, MA 02421(800) 325-7284(205) 579-9387 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 17, 2024, Jun 20, 2019, Mar 21, 2018 (3 updates tracked since 2018).

About Dr. Seth Ian Rosenthal Md NPPES

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

DR. SETH IAN ROSENTHAL MD (NPI 1871630350) is an individual dermatopathology provider in Lexington, Massachusetts, licensed in Georgia (83381) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (1996).

NPPES Registry Identity

NPI1871630350
Entity TypeIndividualMale
Primary Taxonomy207ZD0900X
Provider Legal NameDR. SETH IAN ROSENTHALCredential: MD
Location Address1 CRANBERRY HL STE 105Lexington, MA 02421-7397
Mailing Address1 Cranberry Hl Ste 105Lexington, MA 02421-7397 · (800) 325-7284 · Fax (205) 579-9387
Fax(205) 579-9387
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1996
Enumeration DateJanuary 31, 2007
Last NPPES UpdateApril 17, 20243 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
NPI 1871630350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Licenses Licensed in GA · 83381 Licensed in FL · ME88066
Definition

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 234394 (MA)
1 CRANBERRY HL STE 105, Lexington, MA 02421

Other Identifiers 1

Other71887FL · Bluecross Blueshield

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. Seth Ian Rosenthal 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 ID7315910098
PECOS Enrollment IDI20100329000409
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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
6,143 services4,154 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
642 services352 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
522 services98 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
435 services177 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
322 services247 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
194 services184 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02421 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

81.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.95
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Clinical Medical Laboratory
1 CRANBERRY HL STE 105
LEXINGTON, MA 02421
Dermatology (Dermatopathology)
1 CRANBERRY HL STE 105
LEXINGTON, MA 02421
Pathology (Anatomic Pathology & Clinical Pathology)
1 CRANBERRY HL STE 105
LEXINGTON, MA 02421
Pathology (Dermatopathology)
1 CRANBERRY HL STE 105
LEXINGTON, MA 02421
Pathology (Dermatopathology)
1 CRANBERRY HL STE 105
LEXINGTON, MA 02421
Pathology (Anatomic Pathology & Clinical Pathology)
1 CRANBERRY HL STE 105
LEXINGTON, MA 02421

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 Seth Rosenthal's NPI number?

The NPI number for Seth Rosenthal is 1871630350. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Seth Rosenthal located?

Seth Rosenthal practices at 1 Cranberry Hl Ste 105, Lexington, MA 02421. The listed phone number is (800) 325-7284.

What is Seth Rosenthal's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Seth Rosenthal enrolled in Medicare?

Yes. Seth Rosenthal 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.

When was this NPI record last updated?

The NPPES record for Seth Rosenthal was last updated on April 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.