DR. DAVID ERICH ROTH (MD) – Pediatrics Physician, NPI 1831197250
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
398 PSYCHIATRY in KY
Provider Addresses for DR. DAVID ERICH ROTH (MD)
8222 SPRING GLADE PL
PROSPECT, KY 400597653
Phone: (808) 741-3031
Type: Mailing
7410 NEW LAGRANGE RD
STE 320
LOUISVILLE, KY 40222
Phone: (502) 208-9003
Type: Location
361 3RD ST STE A
SAN RAFAEL, CA 949013580
Phone: (844) 867-4444
Type: Location
3036, Diamond Head Road, Black Point, Kahala, Honolulu, Honolulu County, Hawaii, 96815, United States
HONOLULU, HI 968154717
Phone: (808) 923-7684
Fax: (866) 452-8214
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 45 Open Payments records for all available years, with a total value of $949.
Total Amount is formed as General ($949) + Research ($0) + Ownership ($0) = $949.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($445).
Total Amount
$949
General + Research + Ownership
Payments
45
Total payment records
General Amount
$949
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2026-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210921001622 | I | Psychiatry | CA | TBD |
| I20260121001474 | I | Psychiatry | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40059)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Psychiatry, Family Practice | CA | |
| Nurse Practitioner | NY | |
| P S Y C H I A T R Y | TX | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | VA |
Reviews
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