Kenneth Rothstein, MD
NPI 1790753317ActiveIndividual· Internal Medicine, Gastroenterology· Philadelphia, PA
Internal Medicine, Gastroenterology (MD) in Philadelphia, Pennsylvania, trained at Emory University School of Medicine (class of 1986). Their prescriptions cost Medicare Part D more than their services did: $550,404 for 921 claims, against $56,217 paid for services in 2024. Gilead Sciences, Inc. was the largest of 3 companies reporting payments in 2025, $6,229 in all, mostly consulting fees.
Overview
| NPI | 1790753317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 9, 2006 |
| Last updated in NPPES | Oct 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | MD044179E | PA |
| Internal Medicine, Transplant Hepatology | 207RT0003X | MD044179E | PA |
| Internal Medicine | 207R00000X | MD044179E | PA |
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 - Gastroenterology (NJ); Practitioner - Gastroenterology (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 331 |
|---|---|
| Services billed | 815 across 18 procedure codes |
| Paid by Medicare | $56,217 |
Part D prescriptions in 2024
| Prescriptions (claims) | 921 · 1,622 30-day fills |
|---|---|
| Patients | 148 |
| Total drug cost | $550,404 |
| Generic share | 85% of claims |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Gastroenterology |
| Telehealth | Offers telehealth |
Medical groups
- University of Penn - Medical GroupPhiladelphia, PA · 3,505 clinicians
- Clinical Health Care Associates of New Jersey PCWoodbury, NJ · 797 clinicians
Hospital affiliations
- Chester County HospitalWest Chester, PA
- Doylestown HospitalDoylestown, PA
- Hospital of Univ of PennsylvaniaPhiladelphia, PA
- Penn Presbyterian Medical CenterPhiladelphia, PA
- University Medical Center of Princeton at PlainsboroPlainsboro, NJ
Industry payments (Open Payments)
- 2025$6,229 · 20 payments from 3 companies
- 2024$142.30 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Gilead Sciences, Inc. | $5,699 | 11 |
| Madrigal Pharmaceuticals | $481.70 | 8 |
| Orphalan Inc | $47.68 | 1 |
What the 2025 payments were for
- Consulting Fee$5,000 · 1 payment
- Food and Beverage$762.63 · 14 payments
- Travel and Lodging$466.15 · 5 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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