DR. GARY MARC ROTHENBERG (DPM) – Podiatrist, NPI 1619072105
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
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Provider Addresses for DR. GARY MARC ROTHENBERG (DPM)
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
700, Kms Place, Research Park, Ann Arbor, Washtenaw County, Michigan, 48108, United States
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
Domino's Farms Office Park, 24, Frank Lloyd Wright Drive, Domino Farms, Ann Arbor Charter Township, Washtenaw County, Michigan, 48105, United States
ANN ARBOR, MI 481099484
Phone: (734) 998-7400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: MIMEDX Group, Inc. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $23 |
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: 2015-09-16
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 |
|---|---|---|---|---|
| I20150916000158 | I | Podiatry | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 46 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 88 | 48 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 34 | $0 |
Insurance plans in this area (ZIP 48108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | MI | 11042 | Removal of skin and tissue first 20 sq cm or less | 161 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | FL | |
| Physical Medicine And Rehabilitation | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | MI | |
| Physician Assistant | MI |
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