DR. GIL ROTER M.D.
NPI 1073621231
Internal Medicine in New York, NY

Q: What is Gil Roter's NPI number?

The NPI number for Gil Roter is 1073621231. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Q: What is Gil Roter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gil Roter was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since August 28, 2006PECOS EnrolledAccepts Medicare Assignment

5 PENN PLZ FL 23, NEW YORK, NY 10001(551) 295-8223 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Gil Roter M.d. NPPES

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

DR. GIL ROTER M.D. (NPI 1073621231) is an individual internal medicine provider in New York, New York, licensed in New York (164190) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1073621231

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GIL ROTERCredential: M.D.

Location Address5 PENN PLZ FL 23New York, NY 10001-1810

Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223 · Fax (718) 531-5945

Phone(551) 295-8223

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateAugust 28, 2006

Last NPPES UpdateSeptember 13, 2025

NPPES CertifiedSeptember 13, 2025

✔ NPI 1073621231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 164190

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5 PENN PLZ FL 23, New York, NY 10001

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Secondary Practice Locations 2

Location 17001 Avenue UBrooklyn, NY 11234-6117 · Phone (718) 531-3703 · Fax (718) 531-5945

Location 229399 US Highway 19 N Ste 150Clearwater, FL 33761-2126 · Phone (551) 295-8223

Other Identifiers 1

Medicaid01059452NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Gil Roter 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 ID1153313762

PECOS Enrollment IDI20040402000026, I20260108001779

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

Medicare enrollment records show Gil Roter reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Housecalls Medicine Ny PC

Same address

Geriatric Medicine

5 PENN PLZ FL 23
New York, NY 10001

Reassigned Medicare billing, Florida and New York enrollments
28 clinicians in this Medicare group

NPI 1275290025 (973) 241-1356

Housecalls Medicine Ny East PC

0.1 mi

Geriatric Medicine

5 PENN PLZ FL 19
New York, NY 10001

Reassigned Medicare billing, Florida and New York enrollments
27 clinicians in this Medicare group

NPI 1982565685 (718) 360-9370

Housecalls Medicine Ny West PC

0.1 mi

Geriatric Medicine

5 PENN PLZ FL 19
New York, NY 10001

Reassigned Medicare billing, Florida and New York enrollments
28 clinicians in this Medicare group

NPI 1245191956 (718) 360-9370

Ennoble Hc Nj PC

13 mi

Geriatric Medicine

2 UNIVERSITY PLZ
Hackensack, NJ 07601

Reassigned Medicare billing, Pennsylvania enrollment
52 clinicians in this Medicare group

NPI 1306500764 (973) 435-9463

Ennoble Hc Nj II PC

14 mi

Geriatric Medicine

2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601

Reassigned Medicare billing, Pennsylvania enrollment
43 clinicians in this Medicare group

NPI 1871475806 (551) 295-8223

Ennoble Hc Nj III PC

14 mi

Geriatric Medicine

2 UNIVERSITY PLZ STE 204
Hackensack, NJ 07601

Reassigned Medicare billing, Pennsylvania enrollment
42 clinicians in this Medicare group

NPI 1043192099 (551) 295-8223

Ennoble Hc Fl LLC

1,023 mi

Family Medicine

2744 GULF BREEZE PKWY
Gulf Breeze, FL 32563

Reassigned Medicare billing, Florida enrollment
38 clinicians in this Medicare group

NPI 1386570802 (551) 295-8223

Primary Care House Calls PA

1,023 mi

Medical

2744 GULF BREEZE PKWY
Gulf Breeze, FL 32563

Reassigned Medicare billing, Florida enrollment
22 clinicians in this Medicare group

NPI 1770902462 (850) 934-5713

New York University

1,035 mi

Cardiovascular Disease

3301 QUANTUM BLVD
Boynton Beach, FL 33426

Reassigned Medicare billing, New York enrollment
7,712 clinicians in this Medicare group

NPI 1285826438 (877) 648-2964

Ennoble Hc Ks II LLC

1,265 mi

Geriatric Medicine

801 E DOUGLAS AVE FL 2ND
Wichita, KS 67202

Reassigned Medicare billing, Kansas enrollment
17 clinicians in this Medicare group

NPI 1942182845 (551) 295-8223

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 16

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

5,901 services1,828 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

4,718 services1,438 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

3,404 services1,220 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

3,244 services1,208 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

2,803 services436 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

1,895 services485 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

1,224 services349 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

619 services118 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

243 services199 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

230 services229 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

151 services95 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

66 services11 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

46 services46 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

36 services36 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

35 services35 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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

$150.24 typical visit price

range $65.69 – $198.19

Typical copayment $37.56 (range $16.42 – $49.54)

Most-billed visit code 99204

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims313 services$2.55 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

22 suppliers62 claims193 services$6.28 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers37 claims80 services$1.00 avg. paid by Medicare

Irrigation syringe, bulb or piston, each A4322

DME-Medical/Surgical Supplies · category DA000N

1 supplier28 claims286 services$2.78 avg. paid by Medicare

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

3 suppliers14 claims641 services$6.27 avg. paid by Medicare

Tracheal suction catheter, any type other than closed system, each A4624

DME-Other DME · category DE000N

3 suppliers17 claims1,530 services$2.15 avg. paid by Medicare

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

2 suppliers11 claims132 services$3.49 avg. paid by Medicare

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

2 suppliers24 claims712 services$2.52 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

6 suppliers65 claims2,072 services$4.36 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

5 suppliers54 claims24,464 services$0.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims4,950 services$0.21 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers22 claims9,328 services$0.54 avg. paid by Medicare

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims1,167 services$0.62 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers119 claims120 services$38.58 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims24 services$922.57 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers30 claims30 services$2.51 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier41 claims41 services$31.34 avg. paid by Medicare

Transport chair, adult size, heavy duty, patient weight capacity greater than 300 pounds E1039

DME-Other DME · category DE000N

1 supplier13 claims13 services$21.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers51 claims52 services$63.20 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier35 claims35 services$12.36 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers36 claims36 services$5.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

FIBRE, LLC

Prosthetic/Orthotic Supplier