DEBRA ROTH (PA-C) – Surgical Physician Assistant, NPI 1184634594

DEBRA ROTH (PA-C) is a healthcare provider. based in Eugene, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA130024 (OR). The NPI Number for DEBRA ROTH (PA-C) is 1184634594

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA ROTH (PA-C)
NPI
1184634594
Phone
(541) 686-3791
Address
74B CENTENNIAL LOOP
Enumeration Date
8 August 2006
Last Update Date
10 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
9638271943
Group Practice PAC ID
7719221068
Professional Enrollment ID
I20091014000430
Address ID
OR974017925Eu74XXXLOOP401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for DEBRA ROTH (PA-C)

  • 74, Centennial Loop, Eugene, Lane County, Oregon, 97401, United States

    SUITE 100

    EUGENE, OR 974017918

    Phone: (541) 686-3791

    Fax: (541) 686-3795

    Type: Location

  • 74B CENTENNIAL LOOP STE 300

    EUGENE, OR 974017925

    Phone: (541) 686-3791

    Fax: (541) 686-3795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $587.

Total Amount is formed as General ($587) + Research ($0) + Ownership ($0) = $587.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Nalu Medical, Inc. ($587).

Total Amount

$587

General + Research + Ownership

Payments

39

Total payment records

General Amount

$587

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Nalu Medical, Inc.$587
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: 2009-10-14

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
I20091014000430IPhysician AssistantORTBD

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
22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc3635$0
22867Placement of device to stabilize or reduce pressure in lower spine in 1 disc space3535$0
22845Placement of stabilizing device to front, 2-3 spine bone segments3535$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion3535$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment3232$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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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: 7719221068View full group profile
NameSpecialtyState
Orthopedic SurgeryFL
-OR
N E U R O S U R G E R YOR
Physician AssistantID
Physician AssistantTX

Reviews

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Frequently asked questions

Is there an official ID for DEBRA ROTH (PA-C) in U.S. healthcare records?
The official identifier for DEBRA ROTH (PA-C) is NPI 1184634594.
Is there an active status for DEBRA ROTH (PA-C)?
For scheduling context, DEBRA ROTH (PA-C) is shown as active in the registry.
How would a patient describe DEBRA ROTH (PA-C)'s focus?
For DEBRA ROTH (PA-C), the primary taxonomy reads as Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DEBRA ROTH (PA-C)?
Travel planning: use Eugene, Oregon as the reference point for DEBRA ROTH (PA-C), then confirm.
When was this NPI issued?
Enumeration for DEBRA ROTH (PA-C) is noted as August 8, 2006 where the registry provides it.

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