JEFFREY IRA ROTH (MD) – Otolaryngology Physician, NPI 1417945320
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
392 OTOLARYNGOLOGY in GA
Provider Addresses for JEFFREY IRA ROTH (MD)
4385 JOHNS CREEK PKWY
STE 250
SUWANEE, GA 300246048
Phone: (770) 623-1608
Fax: (678) 992-2540
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 47 Open Payments records for all available years, with a total value of $1,765.
Total Amount is formed as General ($1,765) + Research ($0) + Ownership ($0) = $1,765.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AERIN MEDICAL INC. ($499).
Total Amount
$1,765
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AERIN MEDICAL INC. | $499 |
| Regeneron Healthcare Solutions, Inc. | $351 |
| Inspire Medical Systems, Inc. | $314 |
| Stryker Corporation | $232 |
| GENZYME CORPORATION | $176 |
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: 2011-01-20
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 |
|---|---|---|---|---|
| I20110120000774 | I | Otolaryngology | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 315 | 250 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 201 | 162 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 166 | 166 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 137 | 114 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 74 | 67 | $0 |
Insurance plans in this area (ZIP 30024)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | GA | 92567 | Eardrum testing using ear probe | 17 | 17 |
Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | GA | |
| Qualified Audiologist | GA | |
| O T O L A R Y N G O L O G Y | GA | |
| Allergy/Immunology, Diagnostic Radiology, Otolaryngology | GA | |
| Otolaryngology, Diagnostic Radiology, Allergy/Immunology | PA | |
| Qualified Audiologist | GA | |
| Qualified Audiologist | GA | |
| Allergy/Immunology, Otolaryngology, Diagnostic Radiology | GA | |
| Qualified Audiologist | GA | |
| Qualified Audiologist | GA |
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