DR. BRIAN P. ROTH (M.D.) – Ophthalmology Physician, NPI 1649273889

DR. BRIAN P. ROTH (M.D.) is a healthcare provider. based in Moses lake, Washington. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00029599 (WA). The NPI Number for DR. BRIAN P. ROTH (M.D.) is 1649273889

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN P. ROTH (M.D.)
NPI
1649273889
Phone
(509) 765-7845
Address
1022 W IVY AVE
Enumeration Date
23 May 2005
Last Update Date
18 August 2010

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5097657845
Graduation Year
1992 (34 years ago)
PAC ID
6204914260
Group Practice PAC ID
4183513435
Professional Enrollment ID
I20110221000495
Address ID
WA988374107MO1022XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

466 OPHTHALMOLOGY in WA

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Provider Addresses for DR. BRIAN P. ROTH (M.D.)

  • West Ivy Avenue, Moses Lake, Grant County, Washington, 98837, United States

    MOSES LAKE, WA 988374107

    Phone: (509) 765-7845

    Fax: (509) 765-5192

    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 3 Open Payments records for all available years, with a total value of $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($41).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

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: 2011-02-21

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
I20110221000495IOphthalmologyWATBD

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
92134Imaging of retina921211$0
J0178Injection, aflibercept, 1 mg78081$0
67028Injection of drug into eye769155$0
J9035Injection, bevacizumab, 10 mg580117$0
99214Established patient office or other outpatient visit, 30-39 minutes517394$0
View full utilization report →

Insurance plans in this area (ZIP 98837)

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Provider's Procedures

DR. BRIAN P. ROTH (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYWA92012Eye and medical examination for diagnosis and treatment, established patient336248
OPHTHALMOLOGYWA92083Measurement of field of vision during daylight conditions131123
OPHTHALMOLOGYWA92134Diagnostic imaging of retina870209

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: 4183513435View full group profile
NameSpecialtyState
O P T O M E T R YWA

Reviews

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Frequently asked questions

Is there an official ID for DR. BRIAN P. ROTH (M.D.) in U.S. healthcare records?
The official identifier for DR. BRIAN P. ROTH (M.D.) is NPI 1649273889.
Is there an active status for DR. BRIAN P. ROTH (M.D.)?
For scheduling context, DR. BRIAN P. ROTH (M.D.) is shown as active in the registry.
How would a patient describe DR. BRIAN P. ROTH (M.D.)'s focus?
For DR. BRIAN P. ROTH (M.D.), the primary taxonomy reads as Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is DR. BRIAN P. ROTH (M.D.) registered?
Use Moses Lake, Washington as the headline location for DR. BRIAN P. ROTH (M.D.) here.
Can I trust this NPI listing for DR. BRIAN P. 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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