DR. DAVID ELLIOT ROFFWARG M.D.
NPI 1063736833
Dermatology in Lebanon, TN

Active since March 22, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
107 GLIDEPATH WAY, LEBANON, TN 37090(615) 449-5771(615) 449-5740 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. David Elliot Roffwarg M.d. NPPES

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

DR. DAVID ELLIOT ROFFWARG M.D. (NPI 1063736833) is an individual dermatology provider in Lebanon, Tennessee, licensed in Tennessee (51097) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Georgia School Of Medicine (2010).

NPPES Registry Identity

NPI1063736833
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. DAVID ELLIOT ROFFWARGCredential: M.D.
Location Address107 GLIDEPATH WAYLebanon, TN 37090-4133
Mailing Address107 Glidepath WayLebanon, TN 37090-4133 · (615) 449-5771 · Fax (615) 449-5740
Fax(615) 449-5740
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2010
Enumeration DateMarch 22, 2010
Last NPPES UpdateDecember 29, 2023
NPPES CertifiedDecember 29, 2023
✔ NPI 1063736833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TN · 51097
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
107 GLIDEPATH WAY, Lebanon, TN 37090

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Elliot Roffwarg M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143445536
PECOS Enrollment IDI20140626001747
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 David Roffwarg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
107 GLIDEPATH WAY
Lebanon, TN 37090
  • Reassigned Medicare billing, Tennessee enrollment
  • 52 clinicians in this Medicare group
Dermatology
401 W 4TH AVE
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • 11 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,395 services416 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
746 services544 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
724 services548 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
504 services404 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
301 services227 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
295 services161 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37090 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
107 GLIDEPATH WAY
LEBANON, TN 37090
Dermatology (MOHS-Micrographic Surgery)
107 GLIDEPATH WAY
LEBANON, TN 37090
Physician Assistant
107 GLIDEPATH WAY
LEBANON, TN 37090
Pediatrics (Sleep Medicine)
107 GLIDEPATH WAY
LEBANON, TN 37090
Orthopaedic Surgery (Sports Medicine)
107 GLIDEPATH WAY
LEBANON, TN 37090
Dermatology (MOHS-Micrographic Surgery)
107 GLIDEPATH WAY
LEBANON, TN 37090
Physician Assistant (Medical)
107 GLIDEPATH WAY
LEBANON, TN 37090
Clinic/Center (Medical Specialty)
107 GLIDEPATH WAY
LEBANON, TN 37090

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 David Roffwarg's NPI number?

The NPI number for David Roffwarg is 1063736833. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Where is David Roffwarg located?

David Roffwarg practices at 107 Glidepath Way, Lebanon, TN 37090. The listed phone number is (615) 449-5771.

What is David Roffwarg's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is David Roffwarg enrolled in Medicare?

Yes. David Roffwarg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Roffwarg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Roffwarg reassigns Medicare benefits to 2 organizations: Cumberland Skin Surgery And Dermatology (Lebanon, TN) and Advanced Dermatology Of Georgia, LLC (Albany, GA). 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 David Roffwarg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Roffwarg accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list David Roffwarg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Roffwarg was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.