DR. DAVID ELLIOT ROFFWARG (M.D.) – Dermatology Physician, NPI 1063736833

DR. DAVID ELLIOT ROFFWARG (M.D.) is a healthcare provider. based in Lebanon, Tennessee. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 51097 (TN). The NPI Number for DR. DAVID ELLIOT ROFFWARG (M.D.) is 1063736833

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ELLIOT ROFFWARG (M.D.)
NPI
1063736833
Phone
(615) 449-5771
Address
107 GLIDEPATH WAY
Enumeration Date
22 March 2010
Last Update Date
29 December 2023

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
6154495771
Graduation Year
2010 (16 years ago)
PAC ID
0143445536
Group Practice PAC ID
0941391338
Professional Enrollment ID
I20140626001747
Address ID
TN370904133LE107XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

293 DERMATOLOGY in TN

Provider Addresses for DR. DAVID ELLIOT ROFFWARG (M.D.)

  • 107 GLIDEPATH WAY

    LEBANON, TN 370904133

    Phone: (615) 449-5771

    Fax: (615) 449-5740

    Type: Mailing

  • 151 Southpoint, 151, Southhall Lane, Maitland, Orange County, Florida, 32810, United States

    SUITE 300

    MAITLAND, FL 327517176

    Phone: (407) 875-2080

    Fax: (407) 650-3455

    Type: Mailing

  • 771, Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 260

    LAWRENCEVILLE, GA 300464386

    Phone: (770) 962-5040

    Fax: (770) 962-5056

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $3,204.

Total Amount is formed as General ($3,204) + Research ($0) + Ownership ($0) = $3,204.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($580).

Total Amount

$3,204

General + Research + Ownership

Payments

141

Total payment records

General Amount

$3,204

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: 2017-05-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140626001747IDermatologyTNTBD
I20170502000114IDermatologyGATBD

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
17003Destruction of precancer skin growth, 2-14 growths2,394389$0
17000Destruction of precancer skin growth, 1 growth815526$0
99213Established patient office or other outpatient visit, 20-29 minutes692512$0
11102Biopsy of related skin growth, first growth535407$0
11103Biopsy of related skin growth, each additional growth361177$0
View full utilization report →

Insurance plans in this area (ZIP 37090)

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Provider's Procedures

DR. DAVID ELLIOT ROFFWARG (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA11101Biopsy of each additional growth of skin and/or tissue410184

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: 0941391338View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantTN
Physician AssistantTN
-TN
Nurse PractitionerTN
Physician AssistantTN
Physician AssistantAR
Physician AssistantTN
D E R M A T O L O G YTN
D E R M A T O L O G YTN

Reviews

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Frequently asked questions

What is the registry number for DR. DAVID ELLIOT ROFFWARG (M.D.)?
The registry entry for DR. DAVID ELLIOT ROFFWARG (M.D.) shows NPI 1063736833.
Is DR. DAVID ELLIOT ROFFWARG (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. DAVID ELLIOT ROFFWARG (M.D.) as active.
What type of care does DR. DAVID ELLIOT ROFFWARG (M.D.) provide?
DR. DAVID ELLIOT ROFFWARG (M.D.)'s profile centers on Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. DAVID ELLIOT ROFFWARG (M.D.) in Lebanon, Tennessee?
For routing, start with Lebanon, Tennessee for DR. DAVID ELLIOT ROFFWARG (M.D.), then verify phone and hours locally.
Why is information missing for DR. DAVID ELLIOT ROFFWARG (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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