Douglas Rothkopf, M.D.
NPI 1578547600 · Plastic and Reconstructive Surgery Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Hand Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Rothkopf, M.D. is a Plastic and Reconstructive Surgery Physician provider in Worcester, MA (NPI 1578547600).
Provider details
- NPI number
- 1578547600
- Entity type
- Individual
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 57647 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
333 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 155 | $65 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 78 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 29 | $129 |
| Incision of Tendon Covering of Finger26055 | 18 | $285 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 18 | $171 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-01
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Frequently asked questions
- What is Douglas Rothkopf's NPI number?
- Douglas Rothkopf's National Provider Identifier (NPI) is 1578547600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Rothkopf's specialty?
- Douglas Rothkopf is listed in the NPPES registry with a primary specialty of Plastic and Reconstructive Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Douglas Rothkopf located?
- Douglas Rothkopf's practice location on file with NPPES is 281 Lincoln St, Worcester, MA 01605-2138.
- What is Douglas Rothkopf's phone number?
- The practice phone number listed in the NPPES registry for Douglas Rothkopf is (508) 334-5958.
- Does Douglas Rothkopf accept Medicare?
- Douglas Rothkopf is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Rothkopf's NPI active?
- Yes — Douglas Rothkopf's NPI (1578547600) is active in the NPPES registry as of the last update on 2020-11-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.