DR. ANTHONY JOHN ROUSOU M.D.
NPI 1871777102
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Springfield, MA

Active since December 21, 2007PECOS EnrolledAccepts Medicare Assignment
2 MEDICAL CENTER DR STE 512, SPRINGFIELD, MA 01107(413) 794-5550(413) 794-4212 Get Directions Write a Review

NPPES record last updated: November 26, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 26, 2021, May 7, 2018, Jul 24, 2017 (3 updates tracked since 2017).

About Dr. Anthony John Rousou M.d. NPPES

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

DR. ANTHONY JOHN ROUSOU M.D. (NPI 1871777102) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Springfield, Massachusetts, licensed in Massachusetts (213069) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Tufts University School Of Medicine (2000).

NPPES Registry Identity

NPI1871777102
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. ANTHONY JOHN ROUSOUCredential: M.D.
Location Address2 MEDICAL CENTER DR STE 512Springfield, MA 01107-1273
Mailing Address280 Chestnut St Fl 2Springfield, MA 01199-1001 · (413) 794-5700
Fax(413) 794-4212
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2000
Enumeration DateDecember 21, 2007
Last NPPES UpdateNovember 26, 20213 updates tracked since enumeration
NPPES CertifiedNovember 26, 2021
NPI 1871777102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in MA · 213069
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
2 MEDICAL CENTER DR STE 512, Springfield, MA 01107

Other Names 1

Other Name (5)Tony Rousou M.d.

Other Identifiers 4

Medicaid201019550BIN
Medicaid036123501IL
Other01618941IL · Bc/bs
Medicaid1871777102WI

Accepted 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. Anthony John Rousou M.d. 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 ID4486700655
PECOS Enrollment IDI20170717002116
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 14

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
124 services124 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.
58 services58 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.
38 services38 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.
37 services37 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.
33 services21 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
32 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220030
Location40 Wright StreetPalmer, MA 01069 · Hampden County
Emergency services

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$177.36 typical visit price
range $58.86 – $177.36
Typical copayment $44.34 (range $14.71 – $44.34)
Most-billed visit code 99205
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Nurse Practitioner (Gerontology)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Nurse Practitioner (Acute Care)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Physician Assistant (Surgical)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Physician Assistant (Surgical)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Nurse Practitioner (Acute Care)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Physician Assistant (Surgical)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107
Nurse Practitioner (Acute Care)
2 MEDICAL CENTER DR STE 512
SPRINGFIELD, MA 01107

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 Anthony Rousou's NPI number?

The NPI number for Anthony Rousou is 1871777102. It was assigned to this individual provider in the NPPES registry on December 21, 2007. The provider is also known as Tony Rousou M.D..

Where is Anthony Rousou located?

Anthony Rousou practices at 2 Medical Center Dr Ste 512, Springfield, MA 01107. The listed phone number is (413) 794-5550.

What is Anthony Rousou's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Anthony Rousou enrolled in Medicare?

Yes. Anthony Rousou 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 Anthony Rousou accept?

Health plans from Anthem Blue Cross and Blue Shield list Anthony Rousou 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 Anthony Rousou affiliated with any hospitals?

According to CMS data, Anthony Rousou is affiliated with Cooley Dickinson Hospital Inc,the, Baystate Franklin Medical Center, Baystate Wing Hospital, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Rousou was last updated on November 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.