Active NPI 1063417848 Individual Practitioner Male Practitioner

Dr. Mark A Rothstein , MD

Ophthalmology • Saint Charles, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Rothstein, MD is a certified Ophthalmology practicing in Saint Charles, MO. With approximately 35 years of clinical experience since graduating from University Of Utah School Of Medicine in 1991, Dr. Rothstein delivers high-quality medical care to the local community at 9 POINT WEST BLVD.

Dr. Rothstein is affiliated with Cataract And Eye Disease Specialists, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9 Point West Blvd

Saint Charles, MO 63301

Telephone 6364417900

Fax 6364411980

Associated Practice Facility / Clinic

🏢 Cataract & Eye Disease Specialists, Inc Facility NPI 1386867034

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Saint Charles, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +7.9 yrs vs City Avg

City Avg: 27.1 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

9 Specialists

Practicing in Saint Charles, MO (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rothstein (35 Years) 35 Yrs

Saint Charles Specialty Average (27.1 Years) 27.1 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
92014 Established patient complete exam of visual system	567	541	$150.11	$119.96
92012 Established patient problem focused exam of visual system	362	244	$120.00	$84.73
92133 Imaging of optic nerve	256	239	$210.00	$33.34
92250 Photography of the retina	249	237	$105.00	$34.92
92083 Exam of visual field with extended testing	195	173	$125.00	$60.13
92134 Imaging of retina	174	153	$210.00	$37.50
99213 Established patient office or other outpatient visit, typically 15 minutes	111	90	$120.00	$87.52
92136 Measurement of corneal curvature and depth of eye	107	69	$200.00	$38.47
66984 Removal of cataract with insertion of lens	100	63	$2400.00	$514.74
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	96	81	$60.00	$15.87
66821 Removal of recurring cataract in lens capsule using a laser	83	63	$1150.00	$308.29
92004 New patient complete exam of visual system	68	68	$210.00	$142.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	61	$180.00	$123.30
92020 Examination of cornea and iris using lens device and slit lamp	43	38	$55.00	$26.21
65855 Laser repair to improve eye fluid flow	24	17	$1200.00	$233.14
76514 Ultrasound scan of cornea to determine thickness	20	20	$25.00	$10.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	609	587	$140.72	$123.44
92012 Established patient problem focused exam of visual system	383	264	$101.41	$88.17
92133 Imaging of optic nerve	266	255	$210.00	$34.83
92250 Photography of the retina	236	232	$105.00	$36.15
92083 Exam of visual field with extended testing	199	172	$125.00	$61.50
92134 Imaging of retina	154	136	$210.00	$39.21
99213 Established patient office or other outpatient visit, typically 15 minutes	130	109	$100.00	$89.26
92136 Measurement of corneal curvature and depth of eye	93	63	$200.00	$36.98
66984 Removal of cataract with insertion of lens	87	55	$2400.00	$510.96
92004 New patient complete exam of visual system	68	68	$210.00	$145.34
66821 Removal of recurring cataract in lens capsule using a laser	59	46	$1150.00	$321.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	54	$150.56	$126.33
92020 Examination of cornea and iris using lens device and slit lamp	47	41	$55.00	$27.28
76514 Ultrasound scan of cornea to determine thickness	24	24	$25.00	$10.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	705	657	$140.00	$125.85
92012 Established patient problem focused exam of visual system	461	319	$100.00	$89.23
92133 Imaging of optic nerve	312	289	$210.00	$35.56
92250 Photography of the retina	238	231	$105.00	$36.73
92083 Exam of visual field with extended testing	201	171	$125.00	$62.50
92134 Imaging of retina	120	107	$210.00	$39.95
92136 Measurement of corneal curvature and depth of eye	99	69	$200.00	$40.58
66984 Removal of cataract with insertion of lens	87	56	$2400.00	$522.95
99213 Established patient office or other outpatient visit, typically 15 minutes	73	65	$100.00	$90.02
92004 New patient complete exam of visual system	67	67	$210.00	$148.29
92020 Examination of cornea and iris using lens device and slit lamp	51	49	$55.00	$28.07
66821 Removal of recurring cataract in lens capsule using a laser	48	40	$1150.00	$332.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	26	$70.00	$56.91
76514 Ultrasound scan of cornea to determine thickness	22	21	$25.00	$11.06
65855 Laser repair to improve eye fluid flow	13	11	$1384.62	$264.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	744	705	$140.00	$126.82
92012 Established patient problem focused exam of visual system	560	377	$100.04	$90.10
92133 Imaging of optic nerve	312	305	$210.00	$36.22
92250 Photography of the retina	258	253	$105.00	$39.15
92083 Exam of visual field with extended testing	197	172	$125.00	$63.43
92136 Measurement of corneal curvature and depth of eye	170	107	$200.00	$42.76
66984 Removal of cataract with insertion of lens	160	99	$2400.00	$543.42
92134 Imaging of retina	145	117	$210.00	$40.21
92004 New patient complete exam of visual system	71	71	$210.00	$151.71
99213 Established patient office or other outpatient visit, typically 15 minutes	67	58	$100.00	$91.35
66821 Removal of recurring cataract in lens capsule using a laser	67	54	$1150.00	$334.70
92020 Examination of cornea and iris using lens device and slit lamp	48	40	$55.00	$27.66
67820 Removal of eyelashes using forceps	20	15	$162.50	$23.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$125.00	$126.49
76514 Ultrasound scan of cornea to determine thickness	13	13	$25.00	$11.09
92025 Ct scan of cornea	12	11	$90.00	$35.36
92201 Extended exam of the back part of the eye with retinal drawing	12	12	$100.00	$25.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	672	632	$140.00	$126.54
92012 Established patient problem focused exam of visual system	459	317	$100.00	$88.46
92133 Imaging of optic nerve	266	260	$210.00	$36.39
92250 Photography of the retina	195	192	$105.00	$44.63
92083 Exam of visual field with extended testing	155	148	$125.00	$63.42
92136 Measurement of corneal curvature and depth of eye	134	93	$200.00	$48.00
66984 Removal of cataract with insertion of lens	129	84	$2400.00	$540.11
92134 Imaging of retina	110	95	$210.00	$40.19
92004 New patient complete exam of visual system	82	82	$210.00	$149.52
92020 Examination of cornea and iris using lens device and slit lamp	43	40	$55.00	$27.85
66821 Removal of recurring cataract in lens capsule using a laser	40	37	$1178.75	$332.96
67820 Removal of eyelashes using forceps	18	12	$202.22	$33.16
92025 Ct scan of cornea	13	13	$90.00	$32.32
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$11.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	738	686	$140.00	$124.68
92012 Established patient problem focused exam of visual system	606	365	$100.00	$86.53
92133 Imaging of optic nerve	279	267	$210.00	$35.42
92250 Photography of the retina	238	230	$105.00	$48.76
92083 Exam of visual field with extended testing	189	164	$125.00	$62.79
92136 Measurement of corneal curvature and depth of eye	179	114	$200.00	$49.63
66984 Removal of cataract with insertion of lens	164	109	$2400.00	$628.32
92004 New patient complete exam of visual system	98	98	$210.00	$148.04
92134 Imaging of retina	96	86	$210.00	$39.69
92020 Examination of cornea and iris using lens device and slit lamp	55	44	$55.00	$26.65
66821 Removal of recurring cataract in lens capsule using a laser	45	40	$1150.00	$323.90
92225 Examination of eye by ophthalmoscope with retinal drawing	29	26	$100.00	$26.56
76514 Ultrasound scan of cornea to determine thickness	28	28	$25.00	$11.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$215.00	$158.03
92025 Ct scan of cornea	14	13	$90.00	$36.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	697	647	$140.00	$123.43
92012 Established patient problem focused exam of visual system	614	376	$100.00	$85.69
92133 Imaging of optic nerve	260	250	$210.00	$35.93
92136 Measurement of corneal curvature and depth of eye	207	137	$200.00	$55.52
92250 Photography of the retina	196	190	$105.00	$55.09
66984 Removal of cataract with insertion of lens	188	125	$2400.00	$633.78
92083 Exam of visual field with extended testing	168	148	$125.00	$62.70
92004 New patient complete exam of visual system	126	126	$210.00	$147.58
92134 Imaging of retina	100	88	$210.00	$40.36
92020 Examination of cornea and iris using lens device and slit lamp	49	42	$55.00	$26.39
66821 Removal of recurring cataract in lens capsule using a laser	43	35	$1150.00	$325.16
92225 Examination of eye by ophthalmoscope with retinal drawing	33	27	$100.00	$26.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$215.00	$162.44
76514 Ultrasound scan of cornea to determine thickness	24	24	$25.00	$14.23
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	11	$1250.00	$293.16
67820 Removal of eyelashes using forceps	14	14	$148.57	$42.45
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$2800.00	$788.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	778	713	$140.00	$119.89
92012 Established patient problem focused exam of visual system	639	392	$100.00	$82.67
92133 Imaging of optic nerve	281	275	$210.00	$35.32
92083 Exam of visual field with extended testing	218	185	$125.00	$61.69
92136 Measurement of corneal curvature and depth of eye	188	132	$200.00	$62.86
66984 Removal of cataract with insertion of lens	163	111	$2400.00	$624.47
92004 New patient complete exam of visual system	126	126	$210.00	$142.40
92134 Imaging of retina	114	98	$210.00	$39.10
92250 Photography of the retina	81	80	$105.00	$62.71
92020 Examination of cornea and iris using lens device and slit lamp	56	46	$55.00	$26.31
66821 Removal of recurring cataract in lens capsule using a laser	55	47	$1150.00	$319.55
92225 Examination of eye by ophthalmoscope with retinal drawing	38	30	$100.00	$26.34
76514 Ultrasound scan of cornea to determine thickness	34	33	$25.00	$14.03
67820 Removal of eyelashes using forceps	20	16	$180.50	$55.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$215.00	$160.94
66982 Complex removal of cataract with insertion of prosthetic lens	13	12	$2800.00	$780.87

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MO 101213

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Cataract And Eye Disease Specialists, Inc

9 Point W Blvd, Saint Charles, MO 633014431

Phone: 6364417900

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Paul Nichols , MD

Ophthalmology

NPI 1144225947

Doctor of Medicine (M.D.)

Dr. Dianna Liu , MD

Ophthalmology

NPI 1477830511

Doctor of Medicine (M.D.)

Dr. Bruce Frank , MD

Ophthalmology

NPI 1558366401

Doctor of Medicine (M.D.)

Dr. Deanna Barrow , MD

Ophthalmology

NPI 1609871813

Doctor of Medicine (M.D.)

Dr. Priya Shetty , MD

Ophthalmology

NPI 1760680649

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location May 01, 2018

Registered at 9 POINT WEST BLVD, SAINT CHARLES, MO 63301 (Tel: 6364417900)

📍

Updated Business Mailing Address May 01, 2018

Registered at 9 POINT WEST BLVD, SAINT CHARLES, MO 63301 (Tel: 6364417900)

✅

NPI Profile Active August 13, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 13, 2007

Registered at 3889 VETERANS MEMORIAL PKWY, ST PETERS, MO 633766416 (Tel: 6364417900)

📍

Updated Business Mailing Address August 13, 2007

Registered at 3889 VETERANS MEMORIAL PKWY, ST PETERS, MO 633766416 (Tel: 6364417900)

👤

Provider Name / Credentials Updated August 13, 2007

Recorded as MARK ROTHSTEIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2007

Ophthalmology (License #101213 in MO)

🟢

Initial NPI Registration & Enumeration June 17, 2005

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: 1063417848

Entity Type:

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

Enumeration Date: June 17, 2005

Last Update: May 01, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9 Point West Blvd

Saint Charles, MO 63301

Phone: 6364417900

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.