DR. HENRY LESTER ROTHFUSS M.D.
NPI 1881653004
Internal Medicine in Hampton, VA
NPI Status: Active since March 18, 2006
Contact Information
2115 EXECUTIVE DR
SUITE 2A
HAMPTON, VA
ZIP 23666
Phone: (757) 827-1920
Fax: (757) 827-7509
- Individual
- Male
- Internal Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About HENRY ROTHFUSS
This page provides the complete NPI Profile along with additional information for Henry Rothfuss, an internist established in Hampton, Virginia with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1881653004 assigned on March 2006. The practitioner's primary taxonomy code is 207R00000X with license number 0101033520 (VA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1881653004
- Provider Name
- DR. HENRY LESTER ROTHFUSS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2115 EXECUTIVE DR SUITE 2A HAMPTON, VA 23666
- Location Phone
- (757) 827-1920
- Location Fax
- (757) 827-7509
- Mailing Address
- 2115 EXECUTIVE DR SUITE 2A HAMPTON, VA 23666
- Mailing Phone
- (757) 827-1920
- Mailing Fax
- (757) 827-7509
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-18-2006
- Last Update Date
- 12-19-2007
- Code Navigator
An internist like Henry Rothfuss is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0101033520
- License State
- VA
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| B06789 | MEDICARE UPIN (02) | VA |
Medicare Participation & PECOS Enrollment Status
Henry Rothfuss is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
4 DME suppliers used 17 Medicare Claims 33 Services Paid
DME-Other DME (DE017N)
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)
2 DME suppliers used 22 Medicare Claims 22 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood test, basic group of blood chemicals (calcium, total)
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
Hemoglobin a1c level
Insertion of needle into vein for collection of blood sample
Liver function blood test panel
Thyroxine (thyroid chemical), free
Urinalysis, manual test
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 256 times for 87 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 105 times for 69 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 42 times for 28 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 255 times for 87 patientsThis 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.
This service was performed 309 times for 90 patientsThis 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.
This service was performed 99 times for 84 patientsThis service involves one-on-one educational sessions about managing chronic kidney disease. Each session lasts about an hour. Topics can include understanding the disease, dietary changes, medication management, and lifestyle modifications to help control the condition.
This service was performed 120 times for 38 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 75 times for 53 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 255 times for 87 patientsA liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.
This service was performed 139 times for 78 patientsThe Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
This service was performed 41 times for 27 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 12 times for 11 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 23666 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $129.04
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $32.26
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Elder Maltreatment Screen and Follow-Up Plan | 100% | 137 |
| Percentage of patients aged 65 years and older with a documented elder maltreatment screen using an Elder Maltreatment Screening Tool on the date of encounter AND a documented follow-up plan on the date of the positive screen | ||
| e-Prescribing | 86% | 2463 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 7% | 70 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Medication Reconciliation | 88% | 136 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 99% | 215 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 100% | 215 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 93% | 215 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older | 100% | 83 |
| Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months | ||
Reviews for DR. HENRY LESTER ROTHFUSS M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 8 | 1 | 6 | 5 | 3 | 0 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 16 | 1 | 12 | 5 | 6 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 6 + 1 + 1 + 2 + 5 + 6 + 0 + 0 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1881653004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MRS. ELIZABETH ANNE WILLIAMS ED. S, LPC, LMFT
Counselor
(Professional)
2115 EXECUTIVE DR
STE 9C
HAMPTON, VA
ZIP 23666
LINDA CATHERINE LEEDIE M.D.
Pediatrics
2115 EXECUTIVE DR
4A
HAMPTON, VA
ZIP 23666
DR. WALTER RUDOLPH WALLINGFORD M.D.
Internal Medicine
(Rheumatology)
2115 EXECUTIVE DR
SUITE 6C
HAMPTON, VA
ZIP 23666
DIGITRACE CARE SERVICES, INC.
Clinic/Center
(Sleep Disorder Diagnostic)
2115 EXECUTIVE DR
BLDG 5 SUITE D
HAMPTON, VA
ZIP 23666
HAMPTON HEARING AIDS, LLC
Hearing Aid Equipment
2115 EXECUTIVE DR
SUITE 6 D
HAMPTON, VA
ZIP 23666
HAMPTON ROADS INTERNAL MEDICINE
Internal Medicine
2115 EXECUTIVE DR
SUITE 2A
HAMPTON, VA
ZIP 23666
DIGITRACE CARE SERVICES INC
Durable Medical Equipment & Medical Supplies
2115 EXECUTIVE DR
BLDG 10 B
HAMPTON, VA
ZIP 23666
LOIS HANCOCK M.S.N., C.N.M.
Nurse Practitioner
(Obstetrics & Gynecology)
2115 EXECUTIVE DR
SUITE 9A
HAMPTON, VA
ZIP 23666
DR. SCOTT M QUINN D.D.S.
Dentist
2115 EXECUTIVE DR
SUITE 8-C
HAMPTON, VA
ZIP 23666
HAMPTON ROADS ARTHRITIS CENTER
Internal Medicine
(Rheumatology)
2115 EXECUTIVE DR
SUITE 6C
HAMPTON, VA
ZIP 23666
DR.PAUL W.SECK,O.D.P.C.
Optometrist
2115 EXECUTIVE DR
HAMPTON, VA
ZIP 23666
PENINSULA FAMILY PRACTICE
Health Maintenance Organization
2115 EXECUTIVE DR
4-C
HAMPTON, VA
ZIP 23666
TOGETHER LIVES CHANGE
Community/Behavioral Health
2115 EXECUTIVE DR
BUILDING 10-D
HAMPTON, VA
ZIP 23666
BETTER LIFE SERVICES, INC.
Community/Behavioral Health
2115 EXECUTIVE DR
SUITE 9-C
HAMPTON, VA
ZIP 23666
E WAYNE HAGA MD FAMILY PRACTICE PC
Family Medicine
2115 EXECUTIVE DR
SUITE 3A
HAMPTON, VA
ZIP 23666
DR. BRYCE QUINN D.D.S.
Dentist
2115 EXECUTIVE DR
SUITE 8C
HAMPTON, VA
ZIP 23666
DR. JOSEPH K CHEMPLAVIL M.D.
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
2115 EXECUTIVE DR
SUITE 1A
HAMPTON, VA
ZIP 23666
DR. ROBERT MIDDLETON HILL DR.
Obstetrics & Gynecology
2115 EXECUTIVE DR
SUITE 9A
HAMPTON, VA
ZIP 23666
TIDEWATER INTERNAL MEDICINE ASSOCIATES, P.C.
Internal Medicine
2115 EXECUTIVE DR
SUITE 4-B
HAMPTON, VA
ZIP 23666
CHRISTOPHER MEDICAL GROUP
Family Medicine
2115 EXECUTIVE DR
SUITE 1B
HAMPTON, VA
ZIP 23666
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881653004, enumerated as an "individual" on March 18, 2006.
The provider is located at 2115 EXECUTIVE DR SUITE 2A HAMPTON, VA 23666 and the phone number is (757) 827-1920.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
