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DR. RONALD CARL ROTH MD
NPI 1043254907
Otolaryngology in South Lake Tahoe, CA

Active since June 15, 2006PECOS Enrolled
2169 SOUTH AVE, SOUTH LAKE TAHOE, CA 95150(530) 543-5815(530) 544-3875 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ronald Carl Roth Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RONALD CARL ROTH MD (NPI 1043254907) is an individual otolaryngology provider in South Lake Tahoe, California, licensed in California (G27020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043254907
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RONALD CARL ROTHCredential: MD
Location Address2169 SOUTH AVESouth Lake Tahoe, CA 95150-7059
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Phone(530) 543-5815
Fax(530) 544-3875
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 16, 2014
✔ NPI 1043254907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in CA · G27020✔ Licensed in NV · 13744
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2169 SOUTH AVE, South Lake Tahoe, CA 95150
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ronald Carl Roth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ronald Roth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barton Healthcare System
0.1 mi
Rural Health
2201 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 126 clinicians in this Medicare group
NPI 1053310326 (530) 543-5623
Tahoe Carson Valley Medical Group Inc
0.1 mi
Family Medicine
2170 SOUTH AVE
South Lake Tahoe, CA 96150
  • Reassigned Medicare billing, California enrollment
  • 100 clinicians in this Medicare group
NPI 1508865528 (530) 541-3420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Roth's NPI number?

The NPI number for Ronald Roth is 1043254907. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Ronald Roth located?

Ronald Roth practices at 2169 South Ave, South Lake Tahoe, CA 95150. The listed phone number is (530) 543-5815.

What is Ronald Roth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Ronald Roth enrolled in Medicare?

Yes. Ronald Roth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ronald Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Roth reassigns Medicare benefits to 2 organizations: Barton Healthcare System (South Lake Tahoe, CA) and Tahoe Carson Valley Medical Group Inc (South Lake Tahoe, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ronald Roth was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.