CHARLES EDWARD ROSE III
NPI 1568595874
Internal Medicine - Infectious Disease in Lexington, KY


Quality Rating: 85.13 out of 100 score

NPI Status: Active since March 14, 2007

Contact Information

1720 NICHOLASVILLE RD
STE 602
LEXINGTON, KY
ZIP 40503
Phone: (859) 277-4005
Fax: (859) 278-2507

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  • Individual
  • Male
  • Years of Experience 24
  • Internal Medicine
  • Infectious Disease
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About CHARLES ROSE

This page provides the complete NPI Profile along with additional information for Charles Rose, an internist established in Lexington, Kentucky with a medical specialization in Internal Medicine, focusing in infectious disease and more than 24 years of experience. He graduated from University Of Louisville School Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1568595874 assigned on March 2007. The practitioner's primary taxonomy code is 207RI0200X with license number 40916 (KY). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1568595874
Provider Name
CHARLES EDWARD ROSE III
Gender
Male
Entity Type
Individual
Location Address
1720 NICHOLASVILLE RD STE 602 LEXINGTON, KY 40503
Location Phone
(859) 277-4005
Location Fax
(859) 278-2507
Mailing Address
1720 NICHOLASVILLE RD STE 602 LEXINGTON, KY 40503
Mailing Phone
(859) 277-4005
Mailing Fax
(859) 278-2507
Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
03-14-2007
Last Update Date
03-04-2008
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An internist like Charles Rose is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
40916
License State
KY
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100020800MEDICAID (05)KY 
234512MEDICARE PIN (08)KY 
P00396857OTHER (01)KYRR MEDICARE

Medicare Participation & PECOS Enrollment Status

Charles Rose is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Charles Rose is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890895106

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070714000206

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 12 times for 11 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 334 times for 131 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 92 times for 51 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 574 times for 153 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 233 times for 93 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

This service was performed 486 times for 90 patients

Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less

This procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.

This service was performed 78 times for 23 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 19 times for 19 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 163 times for 141 patients

Injection, ceftriaxone sodium, per 250 mg

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

This service was performed 1,764 times for 41 patients

Injection, daptomycin, 1 mg

Daptomycin is an antibiotic injection used to treat severe bacterial infections. It works by stopping bacteria from growing and multiplying. The 1 mg dosage refers to the amount of daptomycin in each injection. It's administered by healthcare professionals.

This service was performed 55,850 times for 28 patients

Injection, ertapenem sodium, 500 mg

Ertapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.

This service was performed 355 times for 41 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 24 times for 24 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 18 times for 18 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

This service was performed 11 times for 11 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.69 for a new patient copayment and $23.48 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 40503 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $122.77
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $30.69
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.94
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $23.48
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.13, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 85.13 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 75.63

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 58.12

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 58.12

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Charles Rose is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SAINT JOSEPH HOSPITALONE SAINT JOSEPH DRIVE
LEXINGTON, KY 40504
(859) 313-1000Acute Care Hospitals
BAPTIST HEALTH LEXINGTON1740 NICHOLASVILLE ROAD
LEXINGTON, KY 40503
(859) 260-6104Acute Care Hospitals
SAINT JOSEPH EAST150 NORTH EAGLE CREEK DRIVE
LEXINGTON, KY 40509
(859) 967-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568595874
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512810910814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 0 + 9 + 1 + 0 + 8 + 1 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1568595874 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891796298 JOHN R MEEK MD
Individual
Internal Medicine (Infectious Disease)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1437150703 ELIZABETH A PIERCY MD
Individual
Internal Medicine (Infectious Disease)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1386645661 DANIEL C RODRIGUE MD
Individual
Internal Medicine (Infectious Disease)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1548261837 MICHAEL J MIEDLER MD
Individual
Internal Medicine (Infectious Disease)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1326049628 MARK J DOUGHERTY MD
Individual
Internal Medicine (Infectious Disease)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1174525158 SUSAN HOFF-THOMAS ARNP
Individual
Nurse Practitioner (Critical Care Medicine)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1033110150 CHARLES A KENNEDY MD
Individual
Internal Medicine (Infectious Disease)1720 NICHOLASVILLE RD SUITE 602
LEXINGTON, KY 40503
(859) 277-4005
1396735577MR. GLENN I MOORE MD
Individual
Obstetrics & Gynecology (Gynecology)1720 NICHOLASVILLE RD SUITE 400
LEXINGTON, KY 40503
(859) 278-0363
1396706594DR. DENISE W PHILLIPS MD
Individual
Internal Medicine (Hospice and Palliative Medicine)1720 NICHOLASVILLE RD SUITE 703
LEXINGTON, KY 40503
(859) 260-6348
1184687501DR. BASSAM ABU-KHALIL MD
Individual
Specialist1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503
(859) 277-7129
1386695419 JAMIE BLACK PA-C
Individual
Physician Assistant (Surgical)1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503
(859) 277-7129
1174556104CARDIOVASCULAR & THORACIC ASSOCIATES PSC
Organization
Specialist1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503
(859) 277-7129
1942235585SCULLY AND JONES, PSC
Organization
Internal Medicine (Cardiovascular Disease)1720 NICHOLASVILLE RD SUITE 601
LEXINGTON, KY 40503
(859) 277-5887
1053336081 TONYA BREEDING PA-C
Individual
Physician Assistant1720 NICHOLASVILLE RD SUTIE 601
LEXINGTON, KY 40503
(859) 277-5887
1104841428 JULIE GRIFFIN PA-C
Individual
Physician Assistant1720 NICHOLASVILLE RD SUITE 601
LEXINGTON, KY 40503
(859) 277-5887
1104028612LEXINGTON ONCOLOGY ASSOCIATES, PSC
Organization
Internal Medicine (Hematology & Oncology)1720 NICHOLASVILLE RD SUITE 701
LEXINGTON, KY 40503
(859) 276-0414
1851586879 NATASHA DOUGHERTY ARNP
Individual
Nurse Practitioner (Critical Care Medicine)1720 NICHOLASVILLE RD STE 602
LEXINGTON, KY 40503
(859) 277-4005
1881870863MS. KIMBERLY JONES PA-C
Individual
Physician Assistant1720 NICHOLASVILLE RD SUITE 601
LEXINGTON, KY 40503
(859) 277-5887
1245495233BAPTIST CARDIOTHORACIC SURGICAL GROUP
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)1720 NICHOLASVILLE RD SUITE 502
LEXINGTON, KY 40503
(859) 277-7129
1083864755 SHANTEL J. DEVER AU.D.
Individual
Audiologist1720 NICHOLASVILLE RD SUITE 500
LEXINGTON, KY 40503
(859) 278-1114

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568595874, enumerated in the NPI registry as an "individual" on March 14, 2007

The provider is located at 1720 Nicholasville Rd Ste 602 Lexington, Ky 40503 and the phone number is (859) 277-4005

The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease

The provider has more than 24 years of experience. He graduated from University Of Louisville School Of Medicine in 2002.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $122.77 with an average copayment of $30.69 for new patient appointments. Established patients should expect a typical charge of $93.94 and an average copayment of 23.48. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Follow-up hospital inpatient care per day, typically 35 minutes, Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less, Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, Injection, ceftriaxone sodium, per 250 mg, Injection, daptomycin, 1 mg, Injection, ertapenem sodium, 500 mg, New patient office or other outpatient visit, 45-59 minutes, New patient office or other outpatient visit, 60-74 minutes and Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and.

The practitioner is affiliated to the following hospital(s): SAINT JOSEPH HOSPITAL, BAPTIST HEALTH LEXINGTON and SAINT JOSEPH EAST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.