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Active NPI 1679921381 Individual Practitioner Male Practitioner

Dr. Robert Rothbaum , MD

Dermatology • Sheboygan, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Rothbaum, MD is a certified Dermatology practicing in Sheboygan, WI. With approximately 10 years of clinical experience since graduating from Boston University School Of Medicine in 2016, Dr. Rothbaum delivers high-quality medical care to the local community at 2414 KOHLER MEMORIAL DR.

Dr. Rothbaum is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2414 Kohler Memorial Dr

Sheboygan, WI 530813129

Telephone 9204574461
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1427073154

Medicare Profile & Education

Medical School

Boston University School Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Sheboygan, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -13.3 yrs vs City Avg
City Avg: 23.3 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Sheboygan, WI (337 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Rothbaum (10 Years) 10 Yrs
Sheboygan Specialty Average (23.3 Years) 23.3 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
17003 Destruction of precancer skin growth, 2-14 growths
76 17 $80.00 $6.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
42 42 $755.00 $161.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
38 38 $510.00 $107.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 19 $515.00 $119.53
17000 Destruction of skin growth
21 20 $465.00 $53.16
11102 Tangential biopsy of single skin lesion
18 16 $485.00 $97.10
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $350.00 $88.17

Medical Specialties & State Licenses

CMS Verified: 2024-11-05
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WI 3873-320

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License IL 036.153199

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100284235 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

2414 Kohler Memorial Dr, Sheboygan, WI 530813129

Phone: 9204574461

Secondary Practice Locations

2820 W Devon Ave

Chicago, IL 606591502

Phone: 3124488953

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003825159

Doctor of Medicine (M.D.)

Laura Markham , PT

Physical Therapist

NPI 1013047471

Physical Therapist

NPI 1013585611

Doctor of Optometry

Erin Holzman

Nurse Practitioner

NPI 1013690924
Katrina Arnold , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013748052

Nurse Practitioner

Dr. Philip Detrana , MD

Internal Medicine - Pulmonary Disease

NPI 1013992643

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Business Mailing Address November 05, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location August 13, 2024

Registered at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 530813129 (Tel: 9204574461)

📍
Updated Business Mailing Address August 13, 2024

Registered at 2820 W DEVON AVE, CHICAGO, IL 606591502 (Tel: 3124488953)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2024

Dermatology (License #036.153199 in IL)

📍
Updated Practice Location June 19, 2020

Registered at 251 E HURON ST, CHICAGO, IL 606112908 (Tel: 3126958106)

📍
Updated Business Mailing Address June 19, 2020

Registered at 251 E HURON ST, CHICAGO, IL 606112908 (Tel: 3126958106)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2020

Student in an Organized Health Care Education/Training Program (License #268614 in MA)

📍
Updated Practice Location August 02, 2019

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 2168445794)

📍
Updated Business Mailing Address August 02, 2019

Registered at 11100 EUCLID AVE, CLEVELAND, OH 441061716 (Tel: 2168445794)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2019

Student in an Organized Health Care Education/Training Program (License #57.245012 in OH)

NPI Profile Active June 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2016

Registered at 330 BROOKLINE AVE, BOSTON, MA 022155400 (Tel: 6176677000)

📍
Updated Business Mailing Address June 03, 2016

Registered at 330 BROOKLINE AVE, BOSTON, MA 022155400 (Tel: 6176677000)

👤
Provider Name / Credentials Updated June 03, 2016

Recorded as ROBERT ROTHBAUM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2016

Student in an Organized Health Care Education/Training Program (License #268614 in MA)

🟢
Initial NPI Registration & Enumeration June 03, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679921381
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2016
Last Update: November 05, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.