Active NPI 1184650285 Individual Practitioner Male Practitioner

Dr. Stephen M Rouse , MD

Otolaryngology • Willimantic, CT

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Rouse, MD is a registered healthcare professional specializing in Otolaryngology in Willimantic, CT. Practice services are available at 36 WATSON ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, eardrum testing using ear probe. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36 Watson St

Willimantic, CT 062262122

Telephone 8604560287

Fax 8604563532

Associated Practice Facility / Clinic

🏢 Eastern Connecticut Ear, Nose & Throat Pc Facility NPI 1861560922

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Willimantic, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 40.0 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Willimantic, CT (156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	68	61	$150.00	$96.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$225.00	$119.33
92567 Eardrum testing using ear probe	38	38	$50.00	$17.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	34	$195.00	$136.96
95117 Professional service for multiple injections of allergen	33	14	$36.00	$13.08
92557 Comprehensive hearing and speech recognition test	30	30	$115.00	$39.65
69210 Removal of impacted ear wax	24	24	$100.00	$51.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	105	$150.00	$96.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$225.00	$118.44
95117 Professional service for multiple injections of allergen	93	17	$36.00	$12.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	62	$195.00	$137.40
92567 Eardrum testing using ear probe	61	60	$50.00	$18.10
92557 Comprehensive hearing and speech recognition test	60	60	$115.00	$40.54
92511 Exam of the nose and throat using an endoscope	12	11	$365.00	$132.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	192	143	$150.00	$98.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$225.00	$121.22
95117 Professional service for multiple injections of allergen	75	15	$36.00	$12.78
92567 Eardrum testing using ear probe	58	57	$50.00	$18.09
92557 Comprehensive hearing and speech recognition test	57	56	$115.00	$41.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	48	$195.61	$136.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$90.00	$61.27

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	138	109	$195.00	$119.23
95165 Professional service for preparation and provision of 1 or more antigens	130	11	$28.00	$16.39
99213 Established patient office or other outpatient visit, typically 15 minutes	118	93	$150.00	$81.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$225.00	$117.98
95117 Professional service for multiple injections of allergen	77	18	$36.00	$12.16
69210 Removal of impacted ear wax	44	37	$100.00	$53.09
92511 Exam of the nose and throat using an endoscope	11	11	$365.00	$126.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	330	20	$28.00	$15.49
99213 Established patient office or other outpatient visit, typically 15 minutes	149	118	$150.00	$79.94
95117 Professional service for multiple injections of allergen	141	26	$36.00	$11.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	139	111	$195.00	$115.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$225.00	$116.41
69210 Removal of impacted ear wax	44	36	$100.00	$51.93
31231 Diagnostic examination of nasal passages using an endoscope	27	26	$433.00	$217.68
92511 Exam of the nose and throat using an endoscope	21	19	$365.00	$124.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95165 Professional service for preparation and provision of 1 or more antigens	300	22	$28.00	$13.59
99213 Established patient office or other outpatient visit, typically 15 minutes	210	156	$150.00	$75.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	143	143	$225.00	$111.18
95117 Professional service for multiple injections of allergen	142	29	$36.00	$10.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	76	$195.00	$111.21
69210 Removal of impacted ear wax	44	40	$100.00	$50.36
92511 Exam of the nose and throat using an endoscope	29	28	$365.00	$115.97
31231 Diagnostic examination of nasal passages using an endoscope	23	20	$433.00	$225.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	283	201	$150.00	$75.63
95165 Professional service for preparation and provision of 1 or more antigens	260	18	$28.00	$13.14
95117 Professional service for multiple injections of allergen	200	43	$36.00	$11.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$225.00	$111.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	111	$195.00	$111.32
92511 Exam of the nose and throat using an endoscope	49	47	$365.00	$117.17
69210 Removal of impacted ear wax	45	42	$100.00	$51.42
31231 Diagnostic examination of nasal passages using an endoscope	22	22	$433.00	$222.48
31296 Dilation of frontal nasal sinus using an endoscope	11	11	$10000.00	$3121.89
31295 Dilation of nasal sinus using an endoscope	11	11	$9800.00	$1778.07

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License CT 025898

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Otolaryngology - Facial Plastic Surgery

NUCC Taxonomy Code: 207YS0123X

State License CT 025898

An otolaryngologist who specializes in facial plastic surgery.

Otolaryngology - Otolaryngic Allergy

NUCC Taxonomy Code: 207YX0602X

State License CT 025898

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

Otolaryngology - Otolaryngology/Facial Plastic Surgery

NUCC Taxonomy Code: 207YX0905X

State License CT 025898

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001258987 (CT)

Practice Associates & Co-Workers

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

5 Associated Practitioners

William Marshall , MS CCC-A

Audiologist

NPI 1285702324

MSCCCA

Elyse Kirschblum , MA CCC-A

Audiologist

NPI 1316015464

MACCCA

Dr. William Culviner , MD

Otolaryngology

NPI 1558312074

Doctor of Medicine (M.D.)

Dr. Jerilyn Allen , MD

Otolaryngology

NPI 1588690374

Doctor of Medicine (M.D.)

Dr. Steven Green , MD

Otolaryngology

NPI 1942236989

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Otolaryngology (License #025898 in CT)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 36 WATSON ST, WILLIMANTIC, CT 062262122 (Tel: 8604560287)

📍

Updated Business Mailing Address July 08, 2007

Registered at 36 WATSON ST, WILLIMANTIC, CT 062262122 (Tel: 8604560287)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN ROUSE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Otolaryngology (License #025898 in CT)

🟢

Initial NPI Registration & Enumeration June 23, 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: 1184650285

Entity Type:

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

Enumeration Date: June 23, 2006

Last Update: February 22, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

36 Watson St

Willimantic, CT 062262122

Phone: 8604560287

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.