DR. JAMES L ROTH (M.D.) – Family Medicine Physician, NPI 1528055589
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. JAMES L ROTH (M.D.)
Fairfield Inn & Suites Atlanta Perimeter Center, 1145, Hammond Drive Northeast, Atlanta, Fulton County, Georgia, 30328, United States
SUITE 350 BUILDING K
ATLANTA, GA 303285338
Phone: (404) 256-0121
Fax: (770) 901-3359
Type: Mailing
4298 ATLANTA RD SE
SUITE 310
SMYRNA, GA 30080
Phone: (404) 256-1727
Fax: (404) 252-3591
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $921.
Total Amount is formed as General ($921) + Research ($0) + Ownership ($0) = $921.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($226).
Total Amount
$921
General + Research + Ownership
Payments
38
Total payment records
General Amount
$921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $226 |
| PFIZER INC. | $116 |
| Lilly USA, LLC | $70 |
| Novo Nordisk Inc | $62 |
| Novartis Pharmaceuticals Corporation | $52 |
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: 2012-04-11
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 |
|---|---|---|---|---|
| I20120411000850 | I | Family Practice | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 94 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 54 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 36 | $0 |
| 83036 | Hemoglobin a1c level | 26 | 25 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
Insurance plans in this area (ZIP 30328)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 90670 | Pneumococcal vaccine for injection into muscle | 23 | 23 |
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