DR. JOHN RUSSELL ROOST (D.O.) – Obstetrics & Gynecology Physician, NPI 1083988877

DR. JOHN RUSSELL ROOST (D.O.) is a healthcare provider. based in Perrysburg, Ohio. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. 34012385 (OH). The NPI Number for DR. JOHN RUSSELL ROOST (D.O.) is 1083988877

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN RUSSELL ROOST (D.O.)
NPI
1083988877
Phone
(419) 872-3207
Address
1021 SANDUSKY ST
Enumeration Date
27 February 2012
Last Update Date
27 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4196918000
Graduation Year
2012 (14 years ago)
PAC ID
8224324355
Group Practice PAC ID
1951707884
Professional Enrollment ID
I20160915001346
Address ID
OH436163224OR2702XAVEX310
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,818 OBSTETRICS/GYNECOLOGY in OH

Provider Addresses for DR. JOHN RUSSELL ROOST (D.O.)

  • 1021 SANDUSKY ST

    SUITE E

    PERRYSBURG, OH 435513120

    Phone: (419) 872-3207

    Fax: (419) 872-3237

    Type: Location

  • 2200 JEFFERSON AVE

    5TH FL

    TOLEDO, OH 436047101

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,180.

Total Amount is formed as General ($1,180) + Research ($0) + Ownership ($0) = $1,180.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Aspira Women's Health Inc ($241).

Total Amount

$1,180

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,180

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160915001346IObstetrics/GynecologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 43551)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951707884View full group profile
NameSpecialtyState
U R O L O G YOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Cardiovascular Disease (Cardiology)NY
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Orthopedic SurgeryOH
Nurse PractitionerOH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

What is the registry number for DR. JOHN RUSSELL ROOST (D.O.)?
The registry entry for DR. JOHN RUSSELL ROOST (D.O.) shows NPI 1083988877.
Is DR. JOHN RUSSELL ROOST (D.O.)'s NPI status active today?
Active status means DR. JOHN RUSSELL ROOST (D.O.)'s NPI record is not deactivated in the public file.
What does the directory say DR. JOHN RUSSELL ROOST (D.O.) does?
Insurance directories may phrase it differently, but here DR. JOHN RUSSELL ROOST (D.O.) maps to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. JOHN RUSSELL ROOST (D.O.)?
DR. JOHN RUSSELL ROOST (D.O.) is associated with Perrysburg, Ohio in the same public data insurers reference.
Why is information missing for DR. JOHN RUSSELL ROOST (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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