Medicare Enrolled
Dr. Robert Rothstein, MD
Ophthalmology · Forest Hills, NY
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Robert Rothstein is an ophthalmology specialist in Forest Hills, NY, with 19 years of NPI registration. Based on federal Medicare data, Dr. Rothstein performed 3,623 Medicare services across 2,359 unique beneficiaries.
Between the years covered by Open Payments, Dr. Rothstein received a total of $4,839 from 35 pharmaceutical and/or device companies across 204 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in ophthalmology. 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.
✓ 19 years in practice
▲ Top 25% volume in NY
$4,839 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,623
Medicare services
Top 25% in NY for ophthalmology
2,359
Unique beneficiaries
$72
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~191 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. |
1,112 | $107 | $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. |
474 | $55 | $161 |
| Optic nerve imaging (OCT scan) Imaging of the optic nerve. |
332 | $30 | $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. |
319 | $13 | $40 |
| 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. |
220 | $32 | $99 |
| 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. |
211 | $76 | $231 |
| Eye drainage system examination An examination of the internal drainage system of the eye to assess how fluid flows and drains from the eye. |
175 | $25 | $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. |
161 | $139 | $425 |
| Retinal imaging (OCT scan) This procedure involves imaging the retina to visualize its structure. It is used to examine the back of the eye. |
112 | $34 | $104 |
| Eye deviation and range of motion exam An examination to measure eye deviation and assess the range of motion of the eyes. |
81 | $54 | $161 |
| Ultrasound of eye using water bath method An ultrasound imaging test of the eye that uses a water bath technique to visualize internal eye structures. |
64 | $122 | $200 |
| Comprehensive eye exam, established patient A comprehensive examination of the visual system performed for a patient who has previously been seen by the provider. |
60 | $96 | $321 |
| Corneal topography and eye depth measurement This procedure measures the curvature and depth of the cornea, the clear front surface of the eye. |
51 | $22 | $139 |
| Ultrasound of eye tissue and structures A diagnostic imaging test that uses sound waves to create pictures of the eye's internal tissues and structures. |
46 | $50 | $125 |
| Ultrasound scan of cornea to determine thickness An ultrasound procedure used to measure the thickness of the cornea. |
45 | $10 | $30 |
| Eye photography Photographic imaging of the interior structures of the eye. |
39 | $21 | $58 |
| Laser repair to improve eye fluid flow A laser procedure used to enhance the drainage of fluid within the eye. |
30 | $224 | $626 |
| Laser eye fluid drainage tract creation A laser procedure used to create drainage tracts in the iris to help fluid flow out of the eye. |
27 | $269 | $766 |
| Slit lamp examination of the eye This procedure uses a specialized microscope to examine the front portion of the eye. |
20 | $34 | $99 |
| Tear duct plug insertion A procedure to insert a small plug into the tear duct opening to help retain tears on the eye surface. |
17 | $183 | $406 |
| Cataract surgery with lens implant Surgical removal of the clouded natural lens of the eye and replacement with an artificial prosthetic lens to restore vision. |
16 | $470 | $1,370 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
11 | $72 | $284 |
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.
0.4% high complexity
16.5% medium
83.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$4,839
Total received (2018-2024)
Avg $691/year across 7 years
Top 21% in NY for ophthalmology
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
35
Companies
204
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
$4,715 (97.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$124 (2.6%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$942
2023
$998
2022
$1,208
2021
$764
2020
$180
2019
$404
2018
$343
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Amgen Inc.
$224
Bausch & Lomb Americas Inc.
$112
Alcon Vision LLC
$105
Thea Pharma Inc.
$101
Harrow Eye, LLC
$91
SUN PHARMACEUTICAL INDUSTRIES INC.
$76
Tarsus Pharmaceuticals, Inc.
$54
Alexion Pharmaceuticals, Inc.
$40
Glaukos Corporation
$30
Oyster Point Pharma, Inc.
$25
Dompe US, Inc.
$25
ARGENX US, INC.
$23
NEW WORLD MEDICAL,INC.
$18
Mallinckrodt Hospital Products Inc.
$17
Top 3 companies account for 46.8% of 2024 payments
All-time payments by company (2018-2024) ›
Horizon Therapeutics plc
$397
Bausch & Lomb Americas Inc.
$346
Aerie Pharmaceuticals, Inc.
$320
Novartis Pharmaceuticals Corporation
$307
Sun Pharmaceutical Industries Inc.
$290
Alcon Vision LLC
$287
Oyster Point Pharma, Inc.
$280
Allergan, Inc.
$274
Visionix USA, Inc
$258
Amgen Inc.
$224
Bausch & Lomb, a division of Bausch Health US, LLC
$191
Shire North American Group Inc
$178
Thea Pharma Inc.
$148
Mallinckrodt Hospital Products Inc.
$140
AbbVie Inc.
$136
SUN PHARMACEUTICAL INDUSTRIES INC.
$116
Mallinckrodt LLC
$109
Johnson & Johnson Surgical Vision, Inc.
$100
Sight Sciences, Inc.
$99
Alexion Pharmaceuticals, Inc.
$95
Harrow Eye, LLC
$91
Eyevance Pharmaceuticals LLC
$66
Tarsus Pharmaceuticals, Inc.
$54
Kala Pharmaceuticals, Inc.
$49
Akorn Operating Company LLC
$45
Glaukos Corporation
$30
Allergan Inc.
$30
Dompe US, Inc.
$25
EYEVANCE PHARMACEUTICALS LLC
$25
UCB, Inc.
$25
ARGENX US, INC.
$23
ABBVIE INC.
$22
Akorn, Inc.
$20
Carl Zeiss Meditec AG
$19
NEW WORLD MEDICAL,INC.
$18
Top 3 companies account for 21.9% of all-time payments
Associated products mentioned in payments ›
ACTHAR · ARGOS · AcrySof IQ VIVITY IOL · BOTOX · BROMSITE · COMBIGAN · Cequa · DURYSTA · Flarex · HYDRUS Microstent · ILUX · INVELTYS · IYUZEH · Kahook Dual Blade · LIPIFLOW SYSTEM ACTIVATOR (DISPOSABLE) · LOTEMAX · LOTEMAX GEL · LOTEMAX SM · LUMIGAN · MEIBOMIAN GLAND EVALUATOR · MIEBO · None Specified · OCT · OMNI SURGICAL SYSTEM · OXERVATE · RESTASIS MULTIDOSE · Rhopressa · SOLIRIS · Simbrinza · TEPEZZA · TRAVATAN Z · TYRVAYA · TearCare SmartLid · TobraDex ST · Tobradex ST · ULTOMIRIS · UPLIZNA · VEVYE · VYVGART HYTRULO · VYZULTA · XDEMVY · XIIDRA · Zioptan · enVista MX60 IOL · iDose · 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 (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Ophthalmologists within 10 mi
1,351
Per 100K population
58.0
County median income
$84,961
Nearest hospital
JAMAICA HOSPITAL MEDICAL CENTER
1.6 mi
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 above-average Medicare volume (top 25% in NY), with low-engagement industry engagement, with 19 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 1,112 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 $4,839 from 35 companies across 204 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 ophthalmologists in Forest Hills?
Dr. Rothstein's average Medicare payment per service is $72. 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 →
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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.
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