Leah Rothstein, M.D.
NPI 1245693738ActiveIndividual· Family Medicine· West Boylston, MA
Family Medicine (M.D.) with Umass Memorial Medical Group Inc, practicing in West Boylston, Massachusetts. Their prescriptions cost Medicare Part D more than their services did: $263,136 for 3,423 claims, against $23,823 paid for services in 2024. Lists St Vincent Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1245693738 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Apr 1, 2016 |
| Last updated in NPPES | Oct 30, 2020 |
| Certified by provider | Oct 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 279289 | MA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 159 |
|---|---|
| Services billed | 512 across 28 procedure codes |
| Paid by Medicare | $23,823 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,423 · 7,590 30-day fills |
|---|---|
| Patients | 345 |
| Total drug cost | $263,136 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Umass Memorial Medical Group IncWorcester, MA · 2,516 clinicians
Hospital affiliations
- St Vincent HospitalWorcester, MA
- Umass Memorial Healthalliance HospitalsLeominster, MA
- Umass Memorial Medical Center/University CampusWorcester, MA
Other facilities
- Vna Care NetworkHome health agency · Worcester, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Family Medicine providers in West Boylston
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