DR. WALTER E III ROTH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1275501876

DR. WALTER E III ROTH (DPM) is a healthcare provider. based in Lake mary, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO0001719 (FL). The NPI Number for DR. WALTER E III ROTH (DPM) is 1275501876

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. WALTER E III ROTH (DPM)
NPI
1275501876
Phone
(407) 323-2566
Address
925 WILLISTON PARK PT
Enumeration Date
9 March 2006
Last Update Date
6 April 2024

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
4073232566
Graduation Year
1985 (41 years ago)
PAC ID
8820010341
Group Practice PAC ID
3476575994
Professional Enrollment ID
I20100817001098
Address ID
FL327462114LA925XXPTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for DR. WALTER E III ROTH (DPM)

  • 925, Williston Park Point, Lake Mary, Seminole County, Florida, 32746, United States

    SUITE 1009

    LAKE MARY, FL 327462114

    Phone: (407) 323-2566

    Fax: (407) 324-3577

    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 10 Open Payments records for all available years, with a total value of $1,818.

Total Amount is formed as General ($1,818) + Research ($0) + Ownership ($0) = $1,818.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: DJO, LLC ($1,676).

Total Amount

$1,818

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,818

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2010-08-17

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
I20100817001098IPodiatryFLTBD

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 minutes674242$0
73630X-ray of foot, minimum of 3 views8154$0
99204New patient office or other outpatient visit, 45-59 minutes6969$0
20550Injection into tendon or ligament5633$0
73620X-ray of foot, 2 views3925$0
View full utilization report →

Insurance plans in this area (ZIP 32746)

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Provider's Procedures

DR. WALTER E III ROTH (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL73630X-ray of foot, minimum of 3 views3728

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: 3476575994View full group profile
NameSpecialtyState
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

Can I verify DR. WALTER E III ROTH (DPM) with an NPI only?
You can start verification with NPI 1275501876 for DR. WALTER E III ROTH (DPM), then check state licensing separately.
Can I rely on DR. WALTER E III ROTH (DPM) being an active provider?
As of the registry snapshot, DR. WALTER E III ROTH (DPM) is marked active.
What is DR. WALTER E III ROTH (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for DR. WALTER E III ROTH (DPM) here. Clinical services aligned with this taxonomy classification.
Where is DR. WALTER E III ROTH (DPM) based?
DR. WALTER E III ROTH (DPM) is tied to Lake Mary, Florida in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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