MR. JOHN R ROTH (MPAS, PA-C) – Physician Assistant, NPI 1770767360
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
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Provider Addresses for MR. JOHN R ROTH (MPAS, PA-C)
Southwest 4th Avenue, Ontario, Malheur County, Oregon, 97914-2695, United States
ONTARIO, OR 979144500
Phone: (541) 760-1203
Type: Mailing
PO BOX 741825
LOS ANGELES, CA 900741825
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Mailing
920 COUNTRY CLUB RD STE 140A
EUGENE, OR 974016024
Phone: (503) 362-8385
Fax: (503) 362-8435
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 144 Open Payments records for all available years, with a total value of $3,104.
Total Amount is formed as General ($3,104) + Research ($0) + Ownership ($0) = $3,104.
Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($902).
Total Amount
$3,104
General + Research + Ownership
Payments
144
Total payment records
General Amount
$3,104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $902 |
| ABBVIE INC. | $615 |
| E.R. Squibb & Sons, L.L.C. | $495 |
| Regeneron Healthcare Solutions, Inc. | $310 |
| Lilly USA, LLC | $204 |
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: 2009-03-03
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 |
|---|---|---|---|---|
| I20090303000429 | I | Physician Assistant | OR | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,347 | 199 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 339 | 221 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 324 | 202 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 154 | 103 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 107 | 89 | $0 |
Insurance plans in this area (ZIP 97914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | OR | |
| Family Practice | OR | |
| - | OR | |
| - | OR | |
| Registered Dietitian Or Nutrition Professional | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Family Practice | OR | |
| Family Practice | OR | |
| Pediatric Medicine | OR |
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