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THEODORE ROSEN MD
NPI 1881790749
Dermatology in Houston, TX

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
1977 BUTLER BLVD, HOUSTON, TX 77030(713) 798-6131(713) 794-7863 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Theodore Rosen Md NPPES

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

THEODORE ROSEN MD (NPI 1881790749) is an individual dermatology provider in Houston, Texas, licensed in Texas (E7258) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1974).

NPPES Registry Identity

NPI1881790749
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameTHEODORE ROSENCredential: MD
Location Address1977 BUTLER BLVDHouston, TX 77030-4101
Mailing Address2815 Plumb StHouston, TX 77005-3055 · (713) 667-2267
Phone(713) 798-6131
Fax(713) 794-7863
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1974
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 28, 2023
NPPES CertifiedDecember 28, 2023
✔ NPI 1881790749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · E7258
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License E7258 (TX)
1977 BUTLER BLVD, Houston, TX 77030
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Other Identifiers 1

Medicaid123884202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Theodore Rosen 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 ID1557558087
PECOS Enrollment IDI20101209001352
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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
644 services128 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
352 services207 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
239 services154 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.
35 services28 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
24 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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.

SANJAY J. MATHEW M.D.
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD, SUITE E4.207
HOUSTON, TX 77030
Harris County (713) 798-5877
DR. ANTHONY BRISSETT M.D.
Otolaryngology (Plastic Surgery within the Head & Neck)
1977 BUTLER BLVD, E6.100
HOUSTON, TX 77030
Harris County (713) 798-3223
ALAN SHEINFIL
Psychologist (Clinical)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (201) 362-2993
ANDREA G STOLAR MD
Psychiatry & Neurology (Psychiatry)
1977 BUTLER BLVD, SUITE E4.400
HOUSTON, TX 77030
Harris County (713) 798-4997
MELODY FREGIA LPC
Counselor (Professional)
1977 BUTLER BLVD, STE E5.100
HOUSTON, TX 77030
Harris County (713) 798-6336
SUMITRA S KHANDELWAL MD
Ophthalmology
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (404) 862-9626
DR. MASIH AHMED MD
Ophthalmology
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (713) 798-6100
DR. AMANDA JF TAMMAN PHD
Psychologist (Clinical)
1977 BUTLER BLVD
HOUSTON, TX 77030
Harris County (201) 414-3720

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 Theodore Rosen's NPI number?

The NPI number for Theodore Rosen is 1881790749. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Theodore Rosen located?

Theodore Rosen practices at 1977 Butler Blvd, Houston, TX 77030. The listed phone number is (713) 798-6131.

What is Theodore Rosen's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Theodore Rosen enrolled in Medicare?

Yes. Theodore Rosen 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 Theodore Rosen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Theodore Rosen 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.

When was this NPI record last updated?

The NPPES record for Theodore Rosen was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.