DR. JEFFREY ROSS ROTHMAN – Oral and Maxillofacial Surgery (Dentist), NPI 1366482796

DR. JEFFREY ROSS ROTHMAN is a healthcare provider. based in Alexandria, Virginia. specializing in ORAL SURGERY. They hold a License No. 0401410450 (VA). The NPI Number for DR. JEFFREY ROSS ROTHMAN is 1366482796

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY ROSS ROTHMAN
NPI
1366482796
Phone
(703) 370-3012
Address
4660 KENMORE AVE
Enumeration Date
7 June 2006
Last Update Date
15 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND AT BALTIMORE SCHOOL OF DENTISTRY
Secondary Phone
7033703012
Graduation Year
1999 (27 years ago)
PAC ID
5193750107
Group Practice PAC ID
2668407669
Professional Enrollment ID
I20120329000641
Address ID
VA223041306AL4660XAVEX322
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

34 ORAL SURGERY in VA

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Provider Addresses for DR. JEFFREY ROSS ROTHMAN

  • Sonus Alexandria Hearing Care Professionals, 4660, Kenmore Avenue, John Adams, Varsity Park, Alexandria, Virginia, 22304, United States

    SUITE 204

    ALEXANDRIA, VA 223041313

    Phone: (703) 370-3012

    Type: Location

  • 4825 MARK CENTER DR STE 420

    ALEXANDRIA, VA 223111846

    Phone: (703) 370-3012

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $1,578.

Total Amount is formed as General ($1,578) + Research ($0) + Ownership ($0) = $1,578.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Straumann USA LLC ($1,547).

Total Amount

$1,578

General + Research + Ownership

Payments

3

Total payment records

General Amount

$1,578

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2012-03-29

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
I20120329000641IOral SurgeryDCTBD

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
99204New patient office or other outpatient visit, 45-59 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 22304)

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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: 2668407669View full group profile
NameSpecialtyState
Oral Surgery, Maxillofacial SurgeryNY
-FL

Reviews

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Frequently asked questions

Can I cross-check DR. JEFFREY ROSS ROTHMAN using NPI 1366482796?
NPI 1366482796 belongs to DR. JEFFREY ROSS ROTHMAN; compare other details if you need extra assurance.
Is DR. JEFFREY ROSS ROTHMAN still an active registrant?
DR. JEFFREY ROSS ROTHMAN carries an active NPI according to the public dataset.
How would a patient describe DR. JEFFREY ROSS ROTHMAN's focus?
For DR. JEFFREY ROSS ROTHMAN, the primary taxonomy reads as Oral and Maxillofacial Surgery (Dentist). Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. JEFFREY ROSS ROTHMAN registered?
Use Alexandria, Virginia as the headline location for DR. JEFFREY ROSS ROTHMAN here.
Does DR. JEFFREY ROSS ROTHMAN accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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