Medicare Enrolled

Dr. Nathan Rothman, MD

Pulmonary Disease · Lawrence, NY
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
360 CENTRAL AVE, Lawrence, NY 11559
5165696966
In practice since 2005 (20 years)
NPI: 1285616136 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. Rothman 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 →
Are you Dr. Rothman? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Rothman

Dr. Nathan Rothman is a pulmonary disease specialist in Lawrence, NY, with 20 years of NPI registration. Based on federal Medicare data, Dr. Rothman performed 3,104 Medicare services across 1,752 unique beneficiaries.

Between the years covered by Open Payments, Dr. Rothman received a total of $35,574 from 38 pharmaceutical and/or device companies across 740 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Rothman 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 11% volume in NY $35,574 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,104
Medicare services
Top 11% in NY for pulmonary disease
1,752
Unique beneficiaries
$98
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~155 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
Critical care, first 30-74 min
Emergency medical care for a critically ill or injured patient lasting between 30 and 74 minutes. This service involves direct patient care and medical decision making to stabilize the patient.
459 $195 $375
Spirometry test before and after medication
A test that measures the amount of air you can exhale and the speed of your breathing before and after taking a medication.
447 $36 $150
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
292 $108 $185
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
289 $93 $175
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.
233 $83 $180
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.
207 $117 $200
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
202 $72 $170
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
120 $66 $150
Lung volume test using gas dilution or washout
A test that measures the amount of air in your lungs by using a gas dilution or washout method.
104 $38 $86
Pulmonary gas exchange test
A test to examine how well the lungs exchange gases.
104 $54 $110
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
98 $157 $350
Initial nursing facility care, high complexity
An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes.
91 $160 $300
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.
90 $150 $300
Expiratory airflow and volume test
A test that measures the amount of air you can exhale and the speed at which you can breathe it out. It evaluates lung function by assessing expiratory airflow and volume.
85 $25 $85
Chest X-ray, 1 view
An X-ray image of the chest taken from a single angle. This imaging test is used to visualize the structures within the chest cavity.
78 $19 $71
Telephone medical discussion, 5-10 minutes
A phone conversation with a physician lasting between 5 and 10 minutes to discuss medical matters.
75 $51 $80
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
61 $156 $275
CT scan of chest, without contrast
A computed tomography scan of the chest area that uses X-rays to create detailed images without the use of contrast dye.
58 $47 $150
Chest X-ray, 2 views
An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall.
11 $11 $125
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 ↗
$35,574
Total received (2018-2024)
Avg $5,082/year across 7 years
Top 9% in NY for pulmonary disease
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
38
Companies
740
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.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$20,978 (59.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,596 (41.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,175
2023
$2,195
2022
$2,339
2021
$9,340
2020
$5,687
2019
$3,320
2018
$10,519

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$742
AstraZeneca Pharmaceuticals LP
$513
Boehringer Ingelheim Pharmaceuticals, Inc.
$192
Regeneron Healthcare Solutions, Inc.
$173
GENZYME CORPORATION
$98
Amgen Inc.
$83
Mylan Specialty L.P.
$82
PFIZER INC.
$71
Genentech USA, Inc.
$48
Philips North America LLC
$43
Janssen Pharmaceuticals, Inc
$36
Electromed, Inc.
$29
Grifols USA, LLC
$25
INOGEN, INC.
$21
Insmed, Inc.
$21
Top 3 companies account for 66.5% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$16,520
AstraZeneca Pharmaceuticals LP
$10,601
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,518
Regeneron Healthcare Solutions, Inc.
$962
Genentech USA, Inc.
$861
Mylan Specialty L.P.
$748
Amgen Inc.
$685
Novartis Pharmaceuticals Corporation
$622
Grifols USA, LLC
$487
Philips Electronics North America Corporation
$319
GENZYME CORPORATION
$306
Advanced Respiratory, Inc
$304
Electromed, Inc.
$198
Inogen, Inc.
$174
Mallinckrodt Hospital Products Inc.
$158
Circassia Pharmaceuticals Inc
$129
Genentech, Inc.
$125
Boston Scientific Corporation
$109
PFIZER INC.
$104
Shionogi Inc
$76
Insmed, Inc.
$60
AbbVie Inc.
$52
ADVANCED RESPIRATORY, INC
$45
Philips North America LLC
$43
Gilead Sciences, Inc.
$40
Teva Pharmaceuticals USA, Inc.
$37
Janssen Pharmaceuticals, Inc
$36
Harmony Biosciences LLC
$34
Inari Medical, Inc.
$31
Allergan Inc.
$28
HARMONY BIOSCIENCES LLC
$25
Baxter Healthcare
$25
Bayer HealthCare Pharmaceuticals Inc.
$22
INOGEN, INC.
$21
Actelion Pharmaceuticals US, Inc.
$18
Shire North American Group Inc
$18
Takeda Pharmaceuticals U.S.A., Inc.
$18
Sunovion Pharmaceuticals Inc.
$14
Top 3 companies account for 80.5% of all-time payments
Associated products mentioned in payments ›
(7999) SRC Undivided · (8874) inCourage · (AK6) Vest Therapy · ACTHAR · AIRSUPRA · ANGIOJET · ANORO · ANORO ELLIPTA · AREXVY · AVYCAZ · Adempas · AirDuo Digihaler · Arikayce · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BROVANA · DALVANCE · DUAKLIR PRESSAIR · DUPIXENT · DUPIXENT DUPILUMAB INJECTION · DreamWear · ELIQUIS · Esbriet · FARXIGA · FASENRA · FLOWTRIEVER CATHETER · Fetroja · GLASSIA · Hillrom - Vest System Model 105 Home Care · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · InogenOne · NUCALA · OFEV · OPSUMIT MACITENTAN · PREVNAR 20 · Perforomist · Prolastin-C · Prolastin-C Liquid · Respiratoriy Care Undiv · S · SMARTVEST · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · TEZSPIRE · TRELEGY ELLIPTA · TUDORZA PRESSAIR · The Vest System 205 Acute Care · The Vest System Model 105 Home Care · The VisiVest Airway Clearance System · Trilogy 100 · Wakix · Wellcentive Undiv · XARELTO · XOLAIR · Xolair · YUPELRI · Yupelri · inCourage
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 →

The majority of payments (59%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in pulmonary disease and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 9% for pulmonary disease in NY.

Looking for a pulmonary disease specialist in Lawrence?
Compare pulmonary diseases in the Lawrence area by procedure volume, costs, and industry payment transparency.
Browse pulmonary diseases nearby

Geographic Context

Pulmonary diseases within 10 mi
526
Per 100K population
37.9
County median income
$143,408
Nearest hospital
ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE
2.5 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. Rothman is a clinical cardiology specialist, with above-average Medicare volume (top 11% in NY), with speaking/promotional 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. Rothman experienced with critical care, first 30-74 min?
Based on Medicare claims data, Dr. Rothman performed 459 critical care, first 30-74 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. Rothman receive payments from pharmaceutical companies?
Yes. Dr. Rothman received a total of $35,574 from 38 companies across 740 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. Rothman's costs compare to other pulmonary diseases in Lawrence?
Dr. Rothman's average Medicare payment per service is $98. 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. Rothman) 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 →