NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1235540782 MD
Verify on CMS → Rosemary Roden, MD
Pediatrics Physician in Hershey, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
23
Medicare Part D claims · Pediatrics Physician avg: 762
MIPS score
71.8/100
▼ 11 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Rosemary Roden, MD reported a CMS MIPS final score of 71.8/100 - below the 83.1 national average - and filed 23 Medicare Part D claims in 2023.
- 71.8/100
- MIPS score · -11 vs avg
- 23
- Part D claims, 2023
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Rosemary Roden, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
72 9th percentile higher than 9% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Rosemary Roden, MD sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rosemary Roden, MD writes more Part D claims than 18% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Rosemary Roden, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Rosemary Roden, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Rosemary Roden, MD?
Below national averagePrimary specialty
Pediatrics Physician
Medicare Part D claims
23 97% vs specialty avg
MIPS final score
71.8/100 11.3 pts vs avg
Specialty distribution in Pennsylvania
How Pediatrics Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Rosemary Roden, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 71.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 71.8/100 vs national avg 83.1
How MIPS and board certification work
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).
Rosemary Roden, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 905 W GOVERNOR RD, Hershey, PA, 17033, with a listed phone of (717) 531-7235. NPI 1235540782 was issued on 05/17/2014.
Medicare Part D records for calendar year 2023 show 23 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $998 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.8/100 for the 2023 performance year (Quality 48.3, Cost 57.6), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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
Provider Details
| NPI | 1235540782 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/17/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
71.7884
Final Score
Avg: 83.1
48.3237
Quality
57.6377
Cost
100
Promoting Interoperability
Reporting: Group practice
License & disciplinary context - Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Rosemary Roden, MD. To verify Rosemary Roden, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
23
Total Claims
$998
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 39
- Total Day Supply
- 1,175
- Brand Drug Cost
- $0
- Generic Drug Cost
- $998
Patient Demographics
- Average Patient Age
- 20.3 years
- Avg HCC Risk Score
- 1.12
Pediatrics Physician Overview
How Rosemary Roden, MD fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Rosemary Roden, MD's 23 claims are below the specialty average of 762.
Nearby Pediatrics Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Roden.
Dr. Arvin Abadilla
M.D.
Hershey, PA
Dr. Tarik Abanoz
MD
Allentown, PA
Dr. Francisca Abanyie
MD MPH
Philadelphia, PA
Dr. Soraya Abbasi
MD
Philadelphia, PA
Dr. Hoda Abdel-Hamid
MD
Pittsburgh, PA
Compare Pediatrics Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Rosemary Roden, MD's specialty? ▼
Rosemary Roden, MD specializes in Pediatrics Physician and practices in Hershey, Pennsylvania. Credentials: MD.
How much does Rosemary Roden, MD prescribe under Medicare Part D? ▼
In 2023, Rosemary Roden, MD wrote 23 Medicare Part D claims totaling $998 in drug costs for N/A beneficiaries.
What is Rosemary Roden, MD's Medicare quality score? ▼
Rosemary Roden, MD has a CMS MIPS Final Score of 71.8/100 (Quality: 48.3, Cost: 57.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rosemary Roden, MD located? ▼
Rosemary Roden, MD is located at 905 W GOVERNOR RD, Hershey, PA, 17033. Phone: (717) 531-7235.
What is Rosemary Roden, MD's NPI number? ▼
Rosemary Roden, MD's National Provider Identifier (NPI) is 1235540782, issued on 05/17/2014.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does Rosemary Roden, MD accept Medicare? ▼
Rosemary Roden, MD appears in CMS Medicare data with 23 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rosemary Roden, MD's credentials? ▼
Rosemary Roden, MD's NPI is 1235540782 with credentials MD. 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.