DR. TIMOTHY J ROTH (D.O.) – Family Medicine Physician, NPI 1144213604

DR. TIMOTHY J ROTH (D.O.) is a healthcare provider. based in Clovis, California. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. 20A5200 (CA). The NPI Number for DR. TIMOTHY J ROTH (D.O.) is 1144213604

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. TIMOTHY J ROTH (D.O.)
NPI
1144213604
Phone
(559) 299-2128
Address
255 W BULLARD AVE
Enumeration Date
30 August 2005
Deactivation Date
23 March 2006
Reactivation Date
11 April 2006
Last Update Date
29 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5592992128
Graduation Year
1985 (41 years ago)
PAC ID
2264469725
Professional Enrollment ID
I20050726001011
Address ID
CA936120861CL255XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. TIMOTHY J ROTH (D.O.)

  • 255, West Bullard Avenue, Clovis, Fresno County, California, 93612, United States

    #102

    CLOVIS, CA 936120861

    Phone: (559) 299-2128

    Fax: (559) 299-3494

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $1,111.

Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($164).

Total Amount

$1,111

General + Research + Ownership

Payments

45

Total payment records

General Amount

$1,111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050726001011IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg1,02011$0
99213Established patient office or other outpatient visit, 20-29 minutes534140$0
96372Injection of drug or substance under skin or into muscle21935$0
80061Blood test, lipids (cholesterol and triglycerides)164113$0
82947Blood glucose (sugar) level14393$0
View full utilization report →

Insurance plans in this area (ZIP 93612)

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Provider's Procedures

DR. TIMOTHY J ROTH (D.O.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA20610Aspiration and/or injection of large joint or joint capsule2013
FAMILY MEDICINECA94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2928

Reviews

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Frequently asked questions

What is the standard ID for DR. TIMOTHY J ROTH (D.O.) in the U.S.?
In the U.S., DR. TIMOTHY J ROTH (D.O.) is identified by NPI 1144213604.
Does the public listing show DR. TIMOTHY J ROTH (D.O.) as active?
DR. TIMOTHY J ROTH (D.O.)'s NPI record reflects an active status in NPPES.
How should patients interpret DR. TIMOTHY J ROTH (D.O.)'s specialty?
The extract shows Family Medicine Physician for DR. TIMOTHY J ROTH (D.O.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. TIMOTHY J ROTH (D.O.)?
DR. TIMOTHY J ROTH (D.O.) is associated with Clovis, California in the same public data insurers reference.
Can I export DR. TIMOTHY J ROTH (D.O.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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