DR. NICOLE MEGAN ROTH (DPM) – Podiatrist, NPI 1770879413
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
257 PODIATRY in CO
Provider Addresses for DR. NICOLE MEGAN ROTH (DPM)
PO BOX 21150
BOULDER, CO 803084150
Phone: (303) 546-9158
Fax: (303) 546-9107
Type: Mailing
1400 28TH ST STE 2
BOULDER, CO 803031096
Phone: (303) 449-2000
Fax: (303) 449-9475
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2024-08-01 • Largest payer in this snapshot: Stryker Corporation ($110).
Total Amount
$152
General + Research + Ownership
Payments
6
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $110 |
| TREACE MEDICAL CONCEPTS, INC. | $23 |
| Gemini Mountain Medical, LLC | $18 |
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: 2019-01-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190129001504 | I | Podiatry | CO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 101 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 117 | 79 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 83 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 75 | 75 | $0 |
| 64455 | Injection of anesthetic and/or steroid drug into foot nerve | 20 | 12 | $0 |
Insurance plans in this area (ZIP 80308)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | FL | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 13 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CO | |
| P O D I A T R Y | CO |
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