Medicare Enrolled

Dr. Kim Rothstein, O.D.

Optometrist · Forest Hills, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
11045 QUEENS BLVD, Forest Hills, NY 11375
7182612727
In practice since 2006 (20 years)
NPI: 1306803879 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Rothstein from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Rothstein

Dr. Kim Rothstein is an optometrist in Forest Hills, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rothstein performed 295 Medicare services across 260 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rothstein received a total of $3,902 from 28 pharmaceutical and/or device companies across 167 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optometrist. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rothstein is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ Top 48% volume in NY $3,902 industry payments

Medicare Practice Summary

Medicare Utilization ↗
295
Medicare services
Top 48% in NY for optometrist
260
Unique beneficiaries
$64
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~15 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
105 $104 $328
Visual field test, extended
A test that maps your complete field of vision to detect blind spots or peripheral vision loss. Extended testing provides a more detailed assessment than a standard visual field exam.
45 $52 $161
Optic nerve imaging (OCT scan)
Imaging of the optic nerve.
36 $29 $94
Extended exam of back of eye with optic nerve drawing
A detailed examination of the posterior section of the eye, including the optic nerve, with documentation through drawing.
34 $13 $40
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
26 $71 $231
Retinal photography (fundus photo)
This procedure involves taking photographs of the retina, the light-sensitive tissue at the back of the eye. It is used to document the condition of the eye's interior structures.
23 $28 $99
Eye drainage system examination
An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye.
14 $23 $71
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
12 $111 $425
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$3,902
Total received (2018-2024)
Avg $557/year across 7 years
Top 9% in NY for optometrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
167
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,664 (93.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$238 (6.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$865
2023
$791
2022
$824
2021
$671
2020
$137
2019
$380
2018
$235

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$168
Mallinckrodt Hospital Products Inc.
$115
Bausch & Lomb Americas Inc.
$112
Alcon Vision LLC
$105
Thea Pharma Inc.
$101
Harrow Eye, LLC
$91
Tarsus Pharmaceuticals, Inc.
$54
SUN PHARMACEUTICAL INDUSTRIES INC.
$54
Alexion Pharmaceuticals, Inc.
$40
Dompe US, Inc.
$25
Top 3 companies account for 45.6% of 2024 payments
All-time payments by company (2018-2024) ›
Aerie Pharmaceuticals, Inc.
$320
Bausch & Lomb Americas Inc.
$310
Novartis Pharmaceuticals Corporation
$307
Sun Pharmaceutical Industries Inc.
$301
Horizon Therapeutics plc
$249
Mallinckrodt Hospital Products Inc.
$238
Alcon Vision LLC
$217
Oyster Point Pharma, Inc.
$203
Allergan, Inc.
$201
Bausch & Lomb, a division of Bausch Health US, LLC
$191
Shire North American Group Inc
$178
Amgen Inc.
$168
Thea Pharma Inc.
$148
Johnson & Johnson Surgical Vision, Inc.
$100
Sight Sciences, Inc.
$99
SUN PHARMACEUTICAL INDUSTRIES INC.
$94
Harrow Eye, LLC
$91
AbbVie Inc.
$79
Alexion Pharmaceuticals, Inc.
$70
Eyevance Pharmaceuticals LLC
$66
Tarsus Pharmaceuticals, Inc.
$54
Kala Pharmaceuticals, Inc.
$49
Akorn Operating Company LLC
$45
Allergan Inc.
$31
Dompe US, Inc.
$25
EYEVANCE PHARMACEUTICALS LLC
$25
ABBVIE INC.
$22
Akorn, Inc.
$20
Top 3 companies account for 24.0% of all-time payments
Associated products mentioned in payments ›
ACTHAR · BROMSITE · COMBIGAN · Cequa · DURYSTA · Flarex · HYDRUS Microstent · ILUX · INVELTYS · IYUZEH · LIPIFLOW SYSTEM ACTIVATOR (DISPOSABLE) · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · LUMIGAN · MEIBOMIAN GLAND EVALUATOR · MIEBO · OXERVATE · RESTASIS MULTIDOSE · Rhopressa · SOLIRIS · Simbrinza · TEARCARE SYSTEM · TEPEZZA · TRAVATAN Z · TYRVAYA · TearCare SmartLid · TobraDex ST · Tobradex ST · ULTOMIRIS · UPLIZNA · VEVYE · VUITY · VYZULTA · XDEMVY · XIIDRA · Zioptan · enVista MX60 IOL · rhopressa · rocklatan
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (94%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 9% for optometrist in NY.

Looking for an optometrist in Forest Hills?
Compare optometrists in the Forest Hills area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Optometrists within 10 mi
2,502
Per 100K population
107.4
County median income
$84,961
Nearest hospital
JAMAICA HOSPITAL MEDICAL CENTER
1.6 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Rothstein is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 9% of NY peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Rothstein experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Rothstein performed 105 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Rothstein receive payments from pharmaceutical companies?
Yes. Dr. Rothstein received a total of $3,902 from 28 companies across 167 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Rothstein's costs compare to other optometrists in Forest Hills?
Dr. Rothstein's average Medicare payment per service is $64. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Rothstein) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →