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OTTILIE T ROSE MD
NPI 1982626719
Pediatrics in Derby, CT

Active since July 24, 2006PECOS Enrolled
78 PERSHING DR, DERBY, CT 06418(203) 709-8873(203) 709-8689 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ottilie T Rose Md NPPES

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

OTTILIE T ROSE MD (NPI 1982626719) is an individual pediatrics provider in Derby, Connecticut, licensed in Connecticut (030635) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (1985).

NPPES Registry Identity

NPI1982626719
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameOTTILIE T ROSECredential: MD
Location Address78 PERSHING DRDerby, CT 06418-1433
Mailing Address78 Pershing DrDerby, CT 06418-1433 · (203) 709-8873 · Fax (203) 709-8689
Phone(203) 709-8873
Fax(203) 709-8689
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1985
Enumeration DateJuly 24, 2006
Last NPPES UpdateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1982626719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 030635
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
78 PERSHING DR, Derby, CT 06418
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Other Identifiers 1

Medicaid001306358CT

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ottilie T Rose Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133153844
PECOS Enrollment IDI20050922000259
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

6

Medicare enrollment records show Ottilie Rose reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Qmg3, LLC
2.3 mi
Urgent Care
389 BRIDGEPORT AVE
Shelton, CT 06824
  • Reassigned Medicare billing, Connecticut enrollment
  • 40 clinicians in this Medicare group
NPI 1053856039 (203) 567-4171
Qmg7,llc
7.7 mi
Urgent Care
527 ELM ST
New Haven, CT 06511
  • Reassigned Medicare billing, Connecticut enrollment
  • 12 clinicians in this Medicare group
NPI 1487367199 (475) 321-5150
Qmg5,llc
8.3 mi
Urgent Care
57 MONROE TPKE
Trumbull, CT 06611
  • Reassigned Medicare billing, Connecticut enrollment
  • 19 clinicians in this Medicare group
NPI 1386233344 (203) 675-1345
Quentin Medical Group, LLC
10 mi
Urgent Care
161 BOSTON AVE
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 44 clinicians in this Medicare group
NPI 1487087250 (203) 333-4400
Qmg4, LLC
10 mi
Family Medicine
4200 MAIN STREET
Bridgeport, CT 06606
  • Reassigned Medicare billing, Connecticut enrollment
  • 41 clinicians in this Medicare group
NPI 1023471299 (203) 916-5151
Qmg2,llc
13 mi
Urgent Care
1910 BLACK ROCK TPKE
Fairfield, CT 06825
  • Reassigned Medicare billing, Connecticut enrollment
  • 43 clinicians in this Medicare group
NPI 1437546363 (203) 333-4400

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 8

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.

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.
58 services52 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
56 services27 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
46 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 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.
25 services23 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Other Providers at the Same Location NPPES 2

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

NIKOLETT KOCSIS PA-C
Physician Assistant
78 PERSHING DR
DERBY, CT 06418
Naugatuck Valley Planning Region (035) 165-3072
URGENT CARE OF DERBY, LLC
Clinic/Center (Urgent Care)
78 PERSHING DR
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 516-5307

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 Ottilie Rose's NPI number?

The NPI number for Ottilie Rose is 1982626719. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Ottilie Rose located?

Ottilie Rose practices at 78 Pershing Dr, Derby, CT 06418. The listed phone number is (203) 709-8873.

What is Ottilie Rose's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ottilie Rose enrolled in Medicare?

Yes. Ottilie Rose is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ottilie Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ottilie Rose reassigns Medicare benefits to 6 organizations: Qmg3, LLC (Shelton, CT), Qmg7,llc (New Haven, CT), Qmg5,llc (Trumbull, CT), Quentin Medical Group, LLC (Bridgeport, CT), Qmg4, LLC (Bridgeport, CT) and 1 more organization, listed in the Medicare section above. 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 Ottilie Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ottilie Rose was last updated on June 1, 2022. 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.