DR. STEPHEN ROTH DDS
NPI 1083187538
Dentist - Oral and Maxillofacial Pathology in Baltimore, MD

Active since January 08, 2019PECOS Enrolled
91.25/100
CMS Quality Rating
650 W BALTIMORE ST FL 7, BALTIMORE, MD 21201(410) 706-8345 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2025, Feb 7, 2025, Jan 19, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Stephen Roth Dds NPPES

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

DR. STEPHEN ROTH DDS (NPI 1083187538) is an individual oral and maxillofacial pathology provider in Baltimore, Maryland, licensed in Maryland (LL935) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083187538
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. STEPHEN ROTHCredential: DDS
Location Address650 W BALTIMORE ST FL 7Baltimore, MD 21201-1510
Mailing Address650 W Baltimore St Fl 7Baltimore, MD 21201-1510
Sole ProprietorNo
Enumeration DateJanuary 8, 2019
Last NPPES UpdateFebruary 10, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1083187538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
Licenses✔ Licensed in MD · LL935✔ Licensed in NY · 061196
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
650 W BALTIMORE ST FL 7, Baltimore, MD 21201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen Roth Dds 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

6

Medicare enrollment records show Stephen Roth reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dentist
650 W BALTIMORE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 8 clinicians in this Medicare group
Clinical Medical Laboratory
22 S GREENE ST, NBW73
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • 32 clinicians in this Medicare group
Oral & Maxillofacial Surgery
366 5TH AVE RM 709
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Dentist
27005 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 20 clinicians in this Medicare group
Oral and Maxillofacial Surgery
400 COMMUNITY DR
Manhasset, NY 11030
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Black Hall Dental PC
  • 12 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 9

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
170 services158 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.
86 services67 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
46 services15 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
41 services16 patients
Pathology examination of specimen during surgery, first tissue block 88331
A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
41 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
650 W BALTIMORE ST FL 7
BALTIMORE, MD 21201

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 Stephen Roth's NPI number?

The NPI number for Stephen Roth is 1083187538. It was assigned to this individual provider in the NPPES registry on January 8, 2019.

Where is Stephen Roth located?

Stephen Roth practices at 650 W Baltimore St Fl 7, Baltimore, MD 21201. The listed phone number is (410) 706-8345.

What is Stephen Roth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Stephen Roth enrolled in Medicare?

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

Which organizations bill Medicare for Stephen Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Roth reassigns Medicare benefits to 6 organizations: U M Fdsp Associates PA (Baltimore, MD), Univ Of MD Pathology Associates P A (Baltimore, MD), Lenox Otolaryngology Head & Neck Surgery PC (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY), White Hall Dental, PC (New Hyde Park, NY) and 1 more organization, listed in the Medicare section above. 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 Stephen Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Roth accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Stephen Roth 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 Stephen Roth was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.