JOHN D ROTH (M.D.) – Family Medicine Physician, NPI 1699772673

JOHN D ROTH (M.D.) is a healthcare provider. based in Broad top, Pennsylvania. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD047424L (PA). The NPI Number for JOHN D ROTH (M.D.) is 1699772673

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
JOHN D ROTH (M.D.)
NPI
1699772673
Phone
(814) 635-2916
Address
4133 MEDICAL CENTER DR
Enumeration Date
5 July 2005
Last Update Date
6 June 2024

Doctor Profile

Medical School Name
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Secondary Phone
8146431232
Graduation Year
1990 (36 years ago)
PAC ID
4284829631
Group Practice PAC ID
2860430972
Professional Enrollment ID
I20101110001201
Address ID
PA166526934HU6678XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

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Provider Addresses for JOHN D ROTH (M.D.)

  • The Drive, Huttocks Top, Bacup, Rossendale, Lancashire, North West England, England, OL13 8GZ, United Kingdom

    BROAD TOP, PA 166219001

    Phone: (814) 635-2916

    Fax: (814) 635-2918

    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 2 Open Payments records for all available years, with a total value of $248.

Total Amount is formed as General ($248) + Research ($0) + Ownership ($0) = $248.

Last reported payment date: 2023-04-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($139).

Total Amount

$248

General + Research + Ownership

Payments

2

Total payment records

General Amount

$248

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$139
ABBVIE INC.$109
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: 2010-11-10

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
I20101110001201IFamily PracticePATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16621)

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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: 2860430972View full group profile
NameSpecialtyState
Clinical Social WorkerPA
Family Practice, Emergency MedicinePA
Family Practice, Sports MedicinePA
Internal MedicinePA
P S Y C H I A T R YKY
P O D I A T R YPA
-PA
Family PracticePA
Family PracticePA
Physician AssistantTN

Reviews

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Frequently asked questions

Is JOHN D ROTH (M.D.) listed with a National Provider Identifier?
Yes — JOHN D ROTH (M.D.) has NPI 1699772673 on file in the registry.
Would JOHN D ROTH (M.D.) appear as active to a payer?
You can treat JOHN D ROTH (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JOHN D ROTH (M.D.)?
JOHN D ROTH (M.D.) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN D ROTH (M.D.)?
Directory geography for JOHN D ROTH (M.D.) centers on Broad Top, Pennsylvania.
Can I trust this NPI listing for JOHN D ROTH (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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