MICHAEL ROSEN – Orthopaedic Surgery Physician, NPI 1639419971

MICHAEL ROSEN is a healthcare provider. based in Fort wayne, Indiana. specializing in ORTHOPEDIC SURGERY. They hold a License No. 02005783A (IN). The NPI Number for MICHAEL ROSEN is 1639419971

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL ROSEN
NPI
1639419971
Phone
Not provided
Address
11109 PARKVIEW PLAZA DR # 117
Enumeration Date
24 February 2013
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2603478556
Graduation Year
2013 (13 years ago)
PAC ID
8426309386
Group Practice PAC ID
2163336967
Professional Enrollment ID
I20190823003179
Address ID
IN467552927KE512XXWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for MICHAEL ROSEN

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

  • 2124 HAMELON ST

    LANSING, MI 489104866

    Phone:

    Type: Mailing

  • 1040 GULF BREEZE PKWY

    GULF BREEZE, FL 325617809

    Phone: (850) 916-8704

    Type: Location

  • 306 E MAUMEE ST STE 204

    ANGOLA, IN 467032038

    Phone: (260) 266-4007

    Fax: (260) 266-7355

    Type: Location

  • 11136 Parkview Circle Dr

    Fort Wayne, IN 468451730

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Location

  • 5050 N CLINTON ST

    FORT WAYNE, IN 468255886

    Phone: (260) 484-8551

    Fax: (260) 482-5060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $995.

Total Amount is formed as General ($995) + Research ($0) + Ownership ($0) = $995.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($960).

Total Amount

$995

General + Research + Ownership

Payments

13

Total payment records

General Amount

$995

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-08-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190823003179IOrthopedic SurgeryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7012$0
99213Established patient office or other outpatient visit, 20-29 minutes1915$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163336967View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerNM
-IN
Nurse PractitionerIN
Family PracticeIN
-IN
-IN
Infectious DiseaseIN
Internal MedicineIN
-IN

Reviews

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Frequently asked questions

Is MICHAEL ROSEN listed with a National Provider Identifier?
Yes — MICHAEL ROSEN has NPI 1639419971 on file in the registry.
Is there an active status for MICHAEL ROSEN?
For scheduling context, MICHAEL ROSEN is shown as active in the registry.
What area of care is associated with MICHAEL ROSEN?
MICHAEL ROSEN's record emphasizes Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is MICHAEL ROSEN located near Fort Wayne?
MICHAEL ROSEN currently maps to Fort Wayne, Indiana in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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