2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1598183543 M.D.
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PETER ROTHSTEIN, M.D.

Clinical Cardiac Electrophysiology Physician in SAINT LOUIS, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
142
Medicare Part D claims · 85 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.3686/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$1.9K
71 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PETER ROTHSTEIN, M.D. is a Clinical Cardiac Electrophysiology Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 142 claims across 85 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 96.3686/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.9K across 71 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PETER ROTHSTEIN, M.D. reported a CMS MIPS final score of 96.3686 out of 100, above the 83.1 national average, and filed 142 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PETER ROTHSTEIN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PETER ROTHSTEIN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/06/2014

NPI 1598183543

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

142 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

96.3686/100 13.268600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Clinical Cardiac Electrophysiology Physician compares to other specialties among Missouri providers

Missouri providers

Clinical Cardiac Electrophysiology Physician share within Missouri

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within Missouri

Medicare quality performance — MIPS

PETER ROTHSTEIN, M.D.'s 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

High performer (top quartile)
MIPS Final Score
96.3686/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 96.3686/100 vs national avg 83.1

0%100%National avg83%96.4%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 96.3686/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PETER ROTHSTEIN, M.D. is a Clinical Cardiac Electrophysiology Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1598183543. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PETER ROTHSTEIN, M.D. appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding M.D. credentials at 10012 KENNERLY RD STE 300, SAINT LOUIS, MO, 63128, with a listed phone of (314) 692-2807. NPI 1598183543 was issued on 04/06/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROTHSTEIN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 142 prescription claims written by this provider, covering 85 Medicare beneficiaries and totaling roughly $25K in drug spend, split 25% brand-name and 75% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.3686/100 for the 2023 performance year (Quality 86.2339), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

10012 KENNERLY RD STE 300
SAINT LOUIS, MO 63128

Provider Details

NPI 1598183543
Specialty Clinical Cardiac Electrophysiology Physician
Credentials M.D.
Gender Male
NPI Issued 04/06/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

96.3686
Final Score
Avg: 83.1
86.2339
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PETER ROTHSTEIN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MERCY CLINIC HEART AND VASCULAR LLC
SAINT LOUIS, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PETER ROTHSTEIN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

Largest payer

Biosense Webster, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Above average

PETER ROTHSTEIN, M.D. — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 142 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

142
Total Claims
$25K
Total Drug Cost
85
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
184
Total Day Supply
4,496
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$24K
Generic Drug Cost
$1K
Antibiotic Claims
29

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.71
Gender Split
40% female / 60% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Minocycline Hcl
27
Eliquis
Apixaban
23
Pantoprazole Sodium
16
Metoprolol Succinate
13
Amiodarone Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Clinical Cardiac Electrophysiology Physician Overview

How PETER ROTHSTEIN, M.D. fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

PETER ROTHSTEIN, M.D.'s 142 claims are below the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as ROTHSTEIN.

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER ROTHSTEIN, M.D.'s specialty?
PETER ROTHSTEIN, M.D. specializes in Clinical Cardiac Electrophysiology Physician and practices in SAINT LOUIS, Missouri. Credentials: M.D..
How much does PETER ROTHSTEIN, M.D. prescribe under Medicare Part D?
In 2023, PETER ROTHSTEIN, M.D. wrote 142 Medicare Part D claims totaling $25K in drug costs for 85 beneficiaries.
What is PETER ROTHSTEIN, M.D.'s Medicare quality score?
PETER ROTHSTEIN, M.D. has a CMS MIPS Final Score of 96.3686/100 (Quality: 86.2339). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER ROTHSTEIN, M.D. located?
PETER ROTHSTEIN, M.D. is located at 10012 KENNERLY RD STE 300, SAINT LOUIS, MO, 63128. Phone: (314) 692-2807.
What is PETER ROTHSTEIN, M.D.'s NPI number?
PETER ROTHSTEIN, M.D.'s National Provider Identifier (NPI) is 1598183543, issued on 04/06/2014.
Does PETER ROTHSTEIN, M.D. prescribe more brand-name or generic drugs?
PETER ROTHSTEIN, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $24K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does PETER ROTHSTEIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER ROTHSTEIN, M.D.'s most frequently prescribed drugs include Minocycline Hcl, Eliquis, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER ROTHSTEIN, M.D. accept Medicare?
PETER ROTHSTEIN, M.D. appears in CMS Medicare data with 142 Part D claims and 85 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER ROTHSTEIN, M.D.'s credentials?
PETER ROTHSTEIN, M.D.'s NPI is 1598183543 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology