Active NPI 1982626719 Individual Practitioner Female Practitioner

Dr. Ottilie T Rose , MD

Pediatrics • Derby, CT

Professional Overview & Biography Verified Profile Summary

Dr. Ottilie Rose, MD is a certified Pediatrics practicing in Derby, CT. With approximately 41 years of clinical experience since graduating from New York Medical College in 1985, Dr. Rose delivers high-quality medical care to the local community at 78 PERSHING DR.

Dr. Rose maintains professional affiliations with Qmg3 Llc, Qmg7 Llc, Qmg5,Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

78 Pershing Dr

Derby, CT 064181433

Telephone 2037098873

Fax 2037098689

Associated Practice Facility / Clinic

🏢 Urgent Care Of Derby, Llc Facility NPI 1629461116

Medicare Profile & Education

Medical School

New York Medical College

Graduation Year

1985

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Derby, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

4 Specialists

Practicing in Derby, CT (1087 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rose (41 Years) 41 Yrs

Derby Specialty Average (41.0 Years) 41.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	52	$200.00	$133.31
87804 Detection test by immunoassay with direct visual observation for influenza virus	56	27	$87.00	$16.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	46	43	$100.00	$34.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$453.00	$172.75
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$179.76	$94.36
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	19	$82.00	$16.20
81003 Automated urinalysis test	21	20	$38.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$294.00	$116.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	75	69	$80.67	$34.62
99213 Established patient office or other outpatient visit, typically 15 minutes	66	60	$174.77	$92.96
87804 Detection test by immunoassay with direct visual observation for influenza virus	62	30	$87.00	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$294.00	$118.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$200.00	$134.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$439.68	$168.74
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	19	19	$82.00	$16.20
81003 Automated urinalysis test	19	18	$38.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	31	31	$89.68	$35.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$248.66	$137.12
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$170.86	$97.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$230.93	$178.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$234.60	$120.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$116.36	$114.10
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	26	26	$83.46	$35.33
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$92.93	$92.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$173.67	$171.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71046 X-ray of chest, 2 views	37	35	$36.27	$24.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$118.85	$118.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$119.89	$117.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$178.46	$177.84
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$81.76	$81.57
81003 Automated urinalysis test	13	13	$10.00	$2.23
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$119.55	$35.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	46	$118.16	$116.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$196.34	$172.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$122.77	$112.15
71046 X-ray of chest, 2 views	20	20	$37.25	$23.97
81003 Automated urinalysis test	18	18	$10.00	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	59	$118.04	$109.62
71046 X-ray of chest, 2 views	43	41	$33.81	$22.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$120.02	$113.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$179.83	$167.45
81003 Automated urinalysis test	17	17	$10.00	$2.71
73130 X-ray of hand, minimum of 3 views	11	11	$35.98	$25.79
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$80.20	$76.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	54	$116.86	$111.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$118.14	$115.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$178.41	$174.35
99213 Established patient office or other outpatient visit, typically 15 minutes	29	29	$79.63	$77.37
81003 Automated urinalysis test	22	22	$10.00	$3.02
71020 X-ray of chest, 2 views, front and side	19	18	$31.02	$22.49
82962 Blood glucose (sugar) test performed by hand-held instrument	18	18	$20.92	$3.15

Medical Specialties & State Licenses

CMS Verified: 2022-06-01

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CT 030635

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001306358 (CT)

Hospital & Practice Group Affiliations

Qmg7 Llc

527 Elm St, New Haven, CT 065114549

Phone: 2036751345

Qmg3 Llc

389 Bridgeport Ave, Shelton, CT 064845303

Phone: 2035674171

Qmg5,llc

57 Monroe Tpke, Trumbull, CT 066111315

Phone: 2036751345

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Sandra Micalizzi , APRN

Nurse Practitioner

NPI 1316970627

Advanced Practice Registered Nurse

Dr. Lakshmi Polisetty , MD

Hospitalist

NPI 1508158833

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location June 01, 2022

Registered at 78 PERSHING DR, DERBY, CT 064181433 (Tel: 2037098873)

📍

Updated Business Mailing Address June 01, 2022

Registered at 78 PERSHING DR, DERBY, CT 064181433 (Tel: 2037098873)

👤

Provider Name / Credentials Updated June 01, 2022

Recorded as OTTILIE ROSE, MD

✅

NPI Profile Active October 23, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location October 23, 2007

Registered at 56 FRANKLIN ST, WATERBURY, CT 067061221 (Tel: 2037096004)

📍

Updated Business Mailing Address October 23, 2007

Registered at 56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 067061221 (Tel: 2037098873)

👤

Provider Name / Credentials Updated October 23, 2007

Recorded as O. TINA ROSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2007

Pediatrics (License #030635 in CT)

🟢

Initial NPI Registration & Enumeration July 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982626719

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 24, 2006

Last Update: June 01, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

78 Pershing Dr

Derby, CT 064181433

Phone: 2037098873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.