DR. BERNARD JOHANNES ROTH (MD) – Pulmonary Disease Physician, NPI 1619957065
Pulmonary Disease Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. BERNARD JOHANNES ROTH (MD)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 984310001
Phone: (253) 968-2335
Fax: (253) 968-5926
Type: Location
PO BOX 811
ROY, WA 985800811
Phone: (253) 968-2335
Fax: (253) 968-5926
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2011-03-29
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 |
|---|---|---|---|---|
| I20110329000447 | I | Internal Medicine | WA | 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 |
|---|---|---|---|---|
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 16 | 16 | $0 |
| 94729 | Test to examine how well the lungs exchange gases | 14 | 14 | $0 |
Insurance plans in this area (ZIP 98431)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | CA | |
| O T O L A R Y N G O L O G Y | WA | |
| - | CA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA |
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