THEODORE G ROSE (MD) – Internal Medicine Physician, NPI 1629088281
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
Provider Addresses for THEODORE G ROSE (MD)
12462 BROOKHURST ST A & B
GARDEN GROVE, CA 92840
Phone: (716) 636-9852
Fax: (714) 636-1248
Type: Location
1571 N. COAST HWY
LAGUNA BEACH, CA 92651
Phone: (510) 847-8897
Fax: (510) 437-5042
Type: Mailing
Highland Hospital, 1411, East 31st Street, Highland Park, Oakland, Alameda County, California, 94602, United States
OAKCARE MEDICAL GROUP
OAKLAND, CA 94602
Phone: (510) 437-4323
Fax: (510) 437-5042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $746.
Total Amount is formed as General ($746) + Research ($0) + Ownership ($0) = $746.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Lilly USA, LLC ($268).
Total Amount
$746
General + Research + Ownership
Payments
32
Total payment records
General Amount
$746
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $268 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $171 |
| ABBVIE INC. | $90 |
| Grifols USA, LLC | $50 |
| Novo Nordisk Inc | $45 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080702000200 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 736 | 45 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 36 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 28 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 13 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 92840)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, General Practice | CA | |
| Internal Medicine, General Surgery | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA |
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