MR. RONALD ROTH (MD) – Gastroenterology Physician, NPI 1013105253

MR. RONALD ROTH (MD) is a healthcare provider. based in Tavares, Florida. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME34473 (FL). The NPI Number for MR. RONALD ROTH (MD) is 1013105253

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
MR. RONALD ROTH (MD)
NPI
1013105253
Phone
(352) 253-0244
Address
1824 SALK AVE
Enumeration Date
12 October 2007
Last Update Date
12 October 2007

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
9638130347
Group Practice PAC ID
2668669508
Professional Enrollment ID
I20041025001052
Address ID
FL327784300Ta1824XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,475 GASTROENTEROLOGY in FL

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Provider Addresses for MR. RONALD ROTH (MD)

  • 1824, Salk Avenue, Tavares, Lake County, Florida, 32778, United States

    TAVARES, FL 327784300

    Phone: (352) 253-0244

    Fax: (352) 253-1175

    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 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Exact Sciences Corporation ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2004-10-25

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
I20041025001052IGastroenterologyFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes244184$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope237202$0
99204New patient office or other outpatient visit, 45-59 minutes169169$0
99214Established patient office or other outpatient visit, 30-39 minutes135129$0
45380Biopsy of large bowel using a flexible endoscope9897$0
View full utilization report →

Insurance plans in this area (ZIP 32778)

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Provider's Procedures

MR. RONALD ROTH (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYFL45378Diagnostic examination of large bowel using an endoscope5251
GASTROENTEROLOGYFL45385Removal of polyps or growths of large bowel using an endoscope4645

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: 2668669508View full group profile
NameSpecialtyState
P A T H O L O G YFL

Reviews

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Frequently asked questions

What is the standard ID for MR. RONALD ROTH (MD) in the U.S.?
In the U.S., MR. RONALD ROTH (MD) is identified by NPI 1013105253.
Is MR. RONALD ROTH (MD) currently accepting referrals based on NPI status?
Registry metadata lists MR. RONALD ROTH (MD) as active.
What type of care does MR. RONALD ROTH (MD) provide?
MR. RONALD ROTH (MD)'s profile centers on Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MR. RONALD ROTH (MD)?
The directory associates MR. RONALD ROTH (MD) with Tavares, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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