DR. JASON KYLE ROTH (MD) – Diagnostic Radiology Physician, NPI 1386976207
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,801 DIAGNOSTIC RADIOLOGY in MN
Provider Addresses for DR. JASON KYLE ROTH (MD)
3600 MINNESOTA DR STE 800
EDINA, MN 554357915
Phone: (952) 595-1100
Type: Mailing
INTEGRA IMAGING PS
1200 WESTWOOD DRIVE
HAMILTON, MT 598400000
Phone: (615) 452-9470
Type: Location
Integra Imaging PS
1200 Westwood Drive
Hamilton, MT 598400000
Phone: (615) 452-9470
Type: Location
620, Hartsville Pike, Gallatin, Sumner County, Tennessee, 37066, United States
GALLATIN, TN 370662523
Phone: (615) 452-9470
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20171128001307 | I | Diagnostic Radiology | KY | TBD |
| I20200501001019 | I | Diagnostic Radiology | MT | TBD |
| I20200501001464 | I | Diagnostic Radiology | WA | TBD |
| I20221026001806 | I | Diagnostic Radiology | GA | TBD |
| I20251103002834 | I | Diagnostic Radiology | MI | 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 |
|---|---|---|---|---|
| 76770 | Complete ultrasound scan behind abdominal cavity | 66 | 66 | $0 |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 40 | 40 | $0 |
| 71046 | X-ray of chest, 2 views | 34 | 34 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 33 | 33 | $0 |
| 76705 | Limited ultrasound scan of abdomen | 24 | 24 | $0 |
Insurance plans in this area (ZIP 55435)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | TN | 71010 | X-ray of chest, 1 view, front | 685 | 513 |
| DIAGNOSTIC RADIOLOGY | TN | 73562 | X-ray of knee, 3 views | 50 | 48 |
| DIAGNOSTIC RADIOLOGY | TN | 74177 | CT scan of abdomen and pelvis with contrast | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | TN | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | FL | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | GA | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | AL |
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