Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BLAIR ROSE MD
NPI 1891113395
Dermatology in Newport Beach, CA

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
360 SAN MIGUEL DR STE 309, NEWPORT BEACH, CA 92660(949) 640-0434(949) 640-0277 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2018, Apr 23, 2018 (2 updates tracked since 2018).

About Dr. Blair Rose Md NPPES

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

DR. BLAIR ROSE MD (NPI 1891113395) is an individual dermatology provider in Newport Beach, California, licensed in California (A156877) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Un Of California, Irvine, College Of Medicine (2014).

NPPES Registry Identity

NPI1891113395
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. BLAIR ROSECredential: MD
Location Address360 SAN MIGUEL DR STE 309Newport Beach, CA 92660-7829
Mailing AddressPo Box 12638Belfast, ME 04915-4017 · (212) 661-3376 · Fax (212) 661-3366
Fax(949) 640-0277
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2014
Enumeration DateApril 1, 2014
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1891113395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in CA · A156877 Licensed in NY · 294043
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.
360 SAN MIGUEL DR STE 309, Newport Beach, CA 92660

Secondary Practice Locations 3

Location 1820 2nd Ave Rm 3ANew York, NY 10017 · Phone (212) 661-3376 · Fax (212) 661-3366
Location 2111 E 210th StBronx, NY 10467-2401 · Phone (866) 638-8255
Location 327512 Calle ArroyoSan Juan Capistrano, CA 92675-2753 · Phone (949) 706-7886

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. Blair Rose 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 ID9436409125
PECOS Enrollment IDI20241009002054
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.

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.
428 services64 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.
167 services116 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
120 services104 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.
96 services81 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
95 services87 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
90 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%819 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%332 patients4/55-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.

Other Providers at the Same Location NPPES 4

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

Dermatology
360 SAN MIGUEL DR STE 309
NEWPORT BEACH, CA 92660
Dermatology
360 SAN MIGUEL DR STE 309
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 309
NEWPORT BEACH, CA 92660
Nurse Practitioner
360 SAN MIGUEL DR STE 309
NEWPORT BEACH, CA 92660

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 Blair Rose's NPI number?

The NPI number for Blair Rose is 1891113395. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Blair Rose located?

Blair Rose practices at 360 San Miguel Dr Ste 309, Newport Beach, CA 92660. The listed phone number is (949) 640-0434.

What is Blair Rose's specialty?

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

Is Blair Rose enrolled in Medicare?

Yes. Blair 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.

When was this NPI record last updated?

The NPPES record for Blair Rose was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.