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CARLOS ROTELLAR M.D.
NPI 1891758439
Internal Medicine - Nephrology in Bowling Green, KY

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
720 E 2ND AVE, SUITE #203, BOWLING GREEN, KY 42101(270) 843-5114(270) 745-1230 Get Directions Write a Review

NPPES record last updated: February 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carlos Rotellar M.d. NPPES

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

CARLOS ROTELLAR M.D. (NPI 1891758439) is an individual nephrology provider in Bowling Green, Kentucky, licensed in Kentucky (29440) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (1979).

NPPES Registry Identity

NPI1891758439
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameCARLOS ROTELLARCredential: M.D.
Location Address720 E 2ND AVE, SUITE #203Bowling Green, KY 42101-1778
Mailing Address720 E 2nd Ave, Suite #203Bowling Green, KY 42101-1778 · (270) 843-5114 · Fax (270) 745-1230
Phone(270) 843-5114
Fax(270) 745-1230
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateApril 6, 2006
Last NPPES UpdateFebruary 1, 2018
✔ NPI 1891758439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in KY · 29440
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
720 E 2ND AVE, Bowling Green, KY 42101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos Rotellar 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 ID547396194
PECOS Enrollment IDI20100407000414
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carlos Rotellar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Kentucky Nephrology Associates Psc
Same address
Nephrology
720 2ND AVE, SUITE 203
Bowling Green, KY 42101
  • Reassigned Medicare billing, Kentucky enrollment
  • 12 clinicians in this Medicare group
NPI 1740310267 (270) 745-1230
T J Samson Community Hospital
28 mi
Family Medicine
310 N L ROGERS WELLS BLVD
Glasgow, KY 42141
  • Reassigned Medicare billing, Kentucky enrollment
  • 323 clinicians in this Medicare group
NPI 1477609865 (270) 651-1111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
260 services135 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.
91 services49 patients
Urinalysis, manual test 81002
A 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.
65 services37 patients
Insertion of needle into vein for collection of blood sample 36415
This 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.
28 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.03
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
99%135 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%901 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
91%411 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 202 patients
Patients tobacco: 99% · 170 patients
81%32 patients4/55-star benchmark: 98%
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.

SOUTHERN KY NEPHROLOGY
Nurse Practitioner
720 E 2ND AVE, SUITE 301
BOWLING GREEN, KY 42101
Warren County (270) 843-5114
SCOTT C SIMS M.D.
Internal Medicine (Nephrology)
720 E 2ND AVE, SUITE #203
BOWLING GREEN, KY 42101
Warren County (270) 843-5114
LOUIS GERALD MUDD MD
Psychiatry & Neurology (Psychiatry)
720 E 2ND AVE, STE 300
BOWLING GREEN, KY 42101
Warren County (270) 843-5037
MARTINA R FEE ARNP
Nurse Practitioner (Acute Care)
720 E 2ND AVE, SUITE# 203
BOWLING GREEN, KY 42101
Warren County (270) 843-5114

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 Carlos Rotellar's NPI number?

The NPI number for Carlos Rotellar is 1891758439. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Carlos Rotellar located?

Carlos Rotellar practices at 720 E 2nd Ave Suite #203, Bowling Green, KY 42101. The listed phone number is (270) 843-5114.

What is Carlos Rotellar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Carlos Rotellar enrolled in Medicare?

Yes. Carlos Rotellar 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.

Which organizations bill Medicare for Carlos Rotellar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Rotellar reassigns Medicare benefits to 2 organizations: Southern Kentucky Nephrology Associates Psc (Bowling Green, KY) and T J Samson Community Hospital (Glasgow, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Rotellar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Rotellar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Carlos Rotellar 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 Carlos Rotellar affiliated with any hospitals?

According to CMS data, Carlos Rotellar is affiliated with The Medical Center (bowling Green).

When was this NPI record last updated?

The NPPES record for Carlos Rotellar was last updated on February 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.