DR. MARIANNE S ROSEN (MD) – Dermatology Physician, NPI 1083670111

DR. MARIANNE S ROSEN (MD) is a healthcare provider. based in Manitowoc, Wisconsin. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 036111358 (IL). The NPI Number for DR. MARIANNE S ROSEN (MD) is 1083670111

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIANNE S ROSEN (MD)
NPI
1083670111
Phone
(920) 663-9008
Address
801 YORK ST
Enumeration Date
26 April 2006
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8478433376
Graduation Year
1999 (27 years ago)
PAC ID
6305863689
Group Practice PAC ID
3779471701
Professional Enrollment ID
I20051026000478
Address ID
IL600268089GL2601XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for DR. MARIANNE S ROSEN (MD)

  • 801 YORK ST

    MANITOWOC, WI 542204630

    Phone: (920) 663-9008

    Fax: (920) 684-1439

    Type: Mailing

  • 600 W Lake Cook Rd

    Suite 110

    Buffalo Grove, IL 600892089

    Phone: (847) 459-6611

    Fax: (847) 459-7929

    Type: Location

  • 2601 Compass Rd Ste 125

    Glenview, IL 60026

    Phone: (847) 843-3376

    Type: Location

  • 2604 Dempster St Ste 101

    Park Ridge, IL 600688425

    Phone: (847) 843-3376

    Fax: (847) 998-8631

    Type: Location

  • 401 Linden Ave

    Wilmette, IL 600912844

    Phone: (847) 843-3376

    Fax: (847) 998-8631

    Type: Location

  • Compass Road, Glenview, Northfield Township, Cook County, Illinois, 60026, United States

    GLENVIEW, IL 60026

    Phone: (847) 843-3376

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 238 Open Payments records for all available years, with a total value of $4,876.

Total Amount is formed as General ($4,876) + Research ($0) + Ownership ($0) = $4,876.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($996).

Total Amount

$4,876

General + Research + Ownership

Payments

238

Total payment records

General Amount

$4,876

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2005-10-26

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
I20051026000478IDermatologyILTBD

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
17003Destruction of precancer skin growth, 2-14 growths1,194140$0
17110Destruction of skin growth, 1-14 growths506336$0
99213Established patient office or other outpatient visit, 20-29 minutes377224$0
99214Established patient office or other outpatient visit, 30-39 minutes364287$0
99212Established patient office or other outpatient visit, 10-19 minutes281199$0
View full utilization report →

Insurance plans in this area (ZIP 54220)

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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: 3779471701View full group profile
NameSpecialtyState
-WI
Physician AssistantVA
-VA
D E R M A T O L O G YTX
-WI
D E R M A T O L O G YAL
D E R M A T O L O G YWI
-WI
Physician AssistantNY
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

Is there an official ID for DR. MARIANNE S ROSEN (MD) in U.S. healthcare records?
The official identifier for DR. MARIANNE S ROSEN (MD) is NPI 1083670111.
Would DR. MARIANNE S ROSEN (MD) appear as active to a payer?
You can treat DR. MARIANNE S ROSEN (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DR. MARIANNE S ROSEN (MD)?
DR. MARIANNE S ROSEN (MD) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MARIANNE S ROSEN (MD) located near Manitowoc?
DR. MARIANNE S ROSEN (MD) currently maps to Manitowoc, Wisconsin 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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