James Rothstein, MD
NPI 1265419584 · Vascular Surgery Physician · Prestonsburg, KY
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
James Rothstein, MD is a Vascular Surgery Physician provider in Prestonsburg, KY (NPI 1265419584).
Provider details
- NPI number
- 1265419584
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 12009 (NH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
39 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ultrasound Study of Arm and Leg Arteries93922 | 25 | $11 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $123 |
Typical Medicare-allowed amounts for these services range $11–$123 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Clopidogrel Bisulfatebrand: Clopidogrel | 29 |
| Cilostazol | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,677 across 21 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (5)
- 106 Irving St Nw Ste 218Washington, DC 20010-2993Phone: (301) 891-2500Fax: (301) 448-1679
- 75 Thomas Johnson Dr Ste IFrederick, MD 21702-4895Phone: (301) 378-0608
- 8816 Jericho City DrHyattsville, MD 20785-4762Phone: (301) 891-2500Fax: (301) 448-1679
- 6510 Kenilworth Ave Ste 2300Riverdale, MD 20737-1346Phone: (301) 891-2500Fax: (301) 448-1679
- 7610 Carroll Ave Ste 100Takoma Park, MD 20912-6311Phone: (301) 891-2500Fax: (301) 448-1679
Registry dates
- Enumerated
- 2005-12-28
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is James Rothstein's NPI number?
- James Rothstein's National Provider Identifier (NPI) is 1265419584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is James Rothstein's specialty?
- James Rothstein is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is James Rothstein located?
- James Rothstein's practice location on file with NPPES is 5000 Ky Route 321, Prestonsburg, KY 41653-9113.
- What is James Rothstein's phone number?
- The practice phone number listed in the NPPES registry for James Rothstein is (606) 886-1316.
- Does James Rothstein accept Medicare?
- James Rothstein is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is James Rothstein's NPI active?
- Yes — James Rothstein's NPI (1265419584) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.