ELIZABETH ROTH (MD) – Obstetrics & Gynecology Physician, NPI 1356792220

ELIZABETH ROTH (MD) is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. MT212071 (PA). The NPI Number for ELIZABETH ROTH (MD) is 1356792220

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ROTH (MD)
NPI
1356792220
Phone
Not provided
Address
100 E LANCASTER AVE
Enumeration Date
22 June 2016
Last Update Date
22 June 2016

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7173978177833
Graduation Year
2016 (10 years ago)
PAC ID
8022390343
Group Practice PAC ID
8527056670
Professional Enrollment ID
I20200714002698
Address ID
PA176012433LA694XXDRXX304
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,152 OBSTETRICS/GYNECOLOGY in PA

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Provider Addresses for ELIZABETH ROTH (MD)

  • Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States

    WYNNEWOOD, PA 190963450

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $136.

Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Organon LLC ($32).

Total Amount

$136

General + Research + Ownership

Payments

10

Total payment records

General Amount

$136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-07-14

PECOS data refreshed: 2026-06-15

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
I20200714002698IObstetrics/GynecologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3029$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2121$0
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 19096)

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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: 8527056670View full group profile
NameSpecialtyState
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA
-PA

Reviews

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Frequently asked questions

What number should I use to identify ELIZABETH ROTH (MD) for billing?
Administrative and clinical systems typically use NPI 1356792220 for ELIZABETH ROTH (MD).
Is ELIZABETH ROTH (MD) currently accepting referrals based on NPI status?
Registry metadata lists ELIZABETH ROTH (MD) as active.
What type of care does ELIZABETH ROTH (MD) provide?
ELIZABETH ROTH (MD)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELIZABETH ROTH (MD)?
ELIZABETH ROTH (MD) is associated with Wynnewood, Pennsylvania in the same public data insurers reference.
Who maintains ELIZABETH ROTH (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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