MR. DARREN J ROTH (PA-C) – Physician Assistant, NPI 1164689519

MR. DARREN J ROTH (PA-C) is a healthcare provider. based in Lafayette, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA.0002769 (CO). The NPI Number for MR. DARREN J ROTH (PA-C) is 1164689519

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. DARREN J ROTH (PA-C)
NPI
1164689519
Phone
(303) 665-3036
Address
1345 PLAZA CT N STE 1A
Enumeration Date
21 May 2008
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3034296600
Graduation Year
2006 (20 years ago)
PAC ID
3476774647
Group Practice PAC ID
3779471677
Professional Enrollment ID
I20141103000110
Address ID
CO800313304WE3520XAVEX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for MR. DARREN J ROTH (PA-C)

  • Plaza Court North, Lafayette, Boulder County, Colorado, 80026-2872, United States

    LAFAYETTE, CO 800262832

    Phone: (303) 665-3036

    Type: Mailing

  • 425 S Cherry St Ste 410

    Glendale, CO 802461231

    Phone: (303) 333-3388

    Fax: (303) 333-5094

    Type: Location

  • PO BOX 801106

    KANSAS CITY, MO 641801106

    Phone: (800) 953-0104

    Fax: (303) 765-6670

    Type: Mailing

  • 8990, Washington Street, Thornton, Adams County, Colorado, 80229, United States

    THORNTON, CO 802294537

    Phone: (303) 665-3036

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($16).

Total Amount

$44

General + Research + Ownership

Payments

3

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2014-11-03

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
I20141103000110IPhysician AssistantCOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2315$0
99213Established patient office or other outpatient visit, 20-29 minutes1814$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 80026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779471677View full group profile
NameSpecialtyState
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO
Family PracticeCO
Internal MedicineCO
Family PracticeCO
Clinical Social WorkerCO
Physician AssistantCO

Reviews

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Frequently asked questions

What number should I use to identify MR. DARREN J ROTH (PA-C) for billing?
Administrative and clinical systems typically use NPI 1164689519 for MR. DARREN J ROTH (PA-C).
Is MR. DARREN J ROTH (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists MR. DARREN J ROTH (PA-C) as active.
What type of care does MR. DARREN J ROTH (PA-C) provide?
MR. DARREN J ROTH (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. DARREN J ROTH (PA-C)?
MR. DARREN J ROTH (PA-C) shows a connection to Lafayette, Colorado in registry-derived data.
Can I export MR. DARREN J ROTH (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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