WILLIAM ROTH (MD) – Dermatology Physician, NPI 1902879307
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,366 DERMATOLOGY in FL
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Provider Addresses for WILLIAM ROTH (MD)
1600, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338053019
Phone: (863) 680-7000
Fax: (866) 264-8519
Type: Mailing
1755, North Florida Avenue, Lakeland, Polk County, Florida, 33805, United States
LAKELAND, FL 338053109
Phone: (863) 904-6201
Fax: (866) 264-8519
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $843.
Total Amount is formed as General ($843) + Research ($0) + Ownership ($0) = $843.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: GENZYME CORPORATION ($137).
Total Amount
$843
General + Research + Ownership
Payments
36
Total payment records
General Amount
$843
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $137 |
| ABBVIE INC. | $101 |
| Merz North America, Inc. | $99 |
| Arcutis Biotherapeutics, Inc. | $97 |
| PFIZER INC. | $91 |
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: 2010-01-08
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 |
|---|---|---|---|---|
| I20100108000670 | I | Dermatology | FL | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2,040 | 1,042 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,782 | 339 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 791 | 608 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 681 | 525 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 620 | 257 | $0 |
Insurance plans in this area (ZIP 33805)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | FL | 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 199 | 172 |
| DERMATOLOGY | FL | 17003 | Destruction of 2-14 skin growths | 4606 | 772 |
| DERMATOLOGY | FL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 114 | 101 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| A N E S T H E S I O L O G Y | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Pulmonary Disease, Internal Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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