RICHARD A ROSIELLO MD
NPI 1992739791
Internal Medicine - Pulmonary Disease in Worcester, MA

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
123 SUMMER STREET, SUITE 390, WORCESTER, MA 01608(508) 368-3120(508) 368-3121 Get Directions Write a Review

NPPES record last updated: February 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard A Rosiello Md NPPES

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

RICHARD A ROSIELLO MD (NPI 1992739791) is an individual pulmonary disease provider in Worcester, Massachusetts, licensed in Massachusetts (59781) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and is a graduate of Geisel School Of Medicine At Dartmouth (1981).

NPPES Registry Identity

NPI1992739791
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRICHARD A ROSIELLOCredential: MD
Location Address123 SUMMER STREET, SUITE 390Worcester, MA 01608
Mailing Address630 Plantation StWorcester, MA 01605 · (508) 368-3120 · Fax (508) 368-3121
Fax(508) 368-3121
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1981
Enumeration DateJuly 10, 2006
Last NPPES UpdateFebruary 24, 2009
NPI 1992739791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 59781
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
123 SUMMER STREET, Worcester, MA 01608

Other Identifiers 20

Other042472266Healthcare Value Manageme
Other935071First Health
Other4800063Evercare
Other4864203Cigna Health Plan
Other784077Mvp Health Care
Other9900250Fallon Community Health P
Medicaid3046745MA
Other784078Mvp Health Care
Other290011567Railroad Medicare
OtherJ07963Blue Shield Hmo Blue
OtherJ07963Blue Care Elect
Medicare UPINB85723
Other27207Childrens Medical Securit
OtherAA2311Harvard Pilgrim Healthcar
OtherJ07963Blue Shield Indemnity
Other042472266Private Healthcare System
Other5614058Aetna Us Healthcare
Medicare ID-Type UnspecifiedJ07963MA
Other042472266One Health Plan
Other27207Healthy Start

Accepted 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

Richard A Rosiello 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 ID9537051982
PECOS Enrollment IDI20040329001245
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 13

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.
194 services128 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
118 services38 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.
53 services47 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
40 services40 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.
40 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services15 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers33 claims33 services$34.65 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers23 claims43 services$1.23 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers20 claims20 services$75.94 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers20 claims51 services$27.30 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers20 claims20 services$45.66 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
8 suppliers26 claims26 services$15.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Pulmonary Disease)
123 SUMMER STREET, SUITE 390
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER STREET, ST VINCENT HOSPITAL
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER STREET, ST. VINCENT HOSPITAL
WORCESTER, MA 01608
Internal Medicine (Infectious Disease)
123 SUMMER STREET, SUITE 220 S
WORCESTER, MA 01608
Internal Medicine (Cardiovascular Disease)
123 SUMMER STREET
WORCESTER, MA 01608
Pediatrics (Pediatric Gastroenterology)
123 SUMMER STREET, SUITE 630
WORCESTER, MA 01608
Student in an Organized Health Care Education/Training Program
123 SUMMER STREET, ST VINCENT HOSPITAL
WORCESTER, MA 01608
Internal Medicine (Pulmonary Disease)
123 SUMMER STREET, SUITE 390
WORCESTER, MA 01608

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 Richard Rosiello's NPI number?

The NPI number for Richard Rosiello is 1992739791. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Richard Rosiello located?

Richard Rosiello practices at 123 Summer Street Suite 390, Worcester, MA 01608. The listed phone number is (508) 368-3120.

What is Richard Rosiello's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Richard Rosiello enrolled in Medicare?

Yes. Richard Rosiello 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 Richard Rosiello accept?

Health plans from Anthem Blue Cross and Blue Shield list Richard Rosiello 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 Richard Rosiello affiliated with any hospitals?

According to CMS data, Richard Rosiello is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Richard Rosiello was last updated on February 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.