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DR. JAMES T ROTH M.D.
NPI 1104895705
Obstetrics & Gynecology in Ontario, OR

Active since March 16, 2006PECOS Enrolled
1219 SW 4TH AVE UNIT 2, ONTARIO, OR 97914(801) 261-3975(801) 262-9142 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James T Roth M.d. NPPES

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

DR. JAMES T ROTH M.D. (NPI 1104895705) is an individual obstetrics & gynecology provider in Ontario, Oregon, licensed in Utah (263690-1205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104895705
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES T ROTHCredential: M.D.
Location Address1219 SW 4TH AVE UNIT 2Ontario, OR 97914-4500
Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376 · Fax (208) 642-9598
Phone(801) 261-3975
Fax(801) 262-9142
Sole ProprietorYes
Enumeration DateMarch 16, 2006
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1104895705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 263690-1205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1219 SW 4TH AVE UNIT 2, Ontario, OR 97914
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and more.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. James T Roth M.d. 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 James Roth reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Family Health Care, Inc
0.3 mi
Federally Qualified Health Center (FQHC)
840 SW 4TH AVE STE 105
Ontario, OR 97914
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
NPI 1295415032 (541) 889-2668
Grande Ronde Hospital, Inc.
105 mi
Critical Access
900 SUNSET DR
La Grande, OR 97850
  • Reassigned Medicare billing, Oregon enrollment
  • 158 clinicians in this Medicare group
NPI 1467446195 (541) 963-1472
Sisters Of Providence In Oregon
309 mi
Clinic/Center
25 ERICKSON AVENUE
Shady Cove, OR 97539
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Providence Health & Services Oregon
  • 181 clinicians in this Medicare group
NPI 1881770808 (541) 878-3730
Providence Health & Services - Oregon
319 mi
Clinic/Center
1111 CRATER LAKE AVE
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 311 clinicians in this Medicare group
NPI 1093976243 (541) 732-5250
Providence Health & Services Oregon
365 mi
Clinical Pathology
725 S WAHANNA RD
Seaside, OR 97138
  • Reassigned Medicare billing, Oregon enrollment
  • 301 clinicians in this Medicare group
NPI 1093266769 (503) 717-7000
Bay Area Hospital District
366 mi
General Acute Care Hospital
1775 THOMPSON RD
Coos Bay, OR 97420
  • Reassigned Medicare billing, Oregon enrollment
  • 327 clinicians in this Medicare group
NPI 1225016561 (541) 269-8124

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 97914 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES

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

PEAVEY MEDICAL PC
Family Medicine
1219 SW 4TH AVE UNIT 2
ONTARIO, OR 97914
Malheur County (541) 889-2229

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 James Roth's NPI number?

The NPI number for James Roth is 1104895705. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is James Roth located?

James Roth practices at 1219 SW 4th Ave Unit 2, Ontario, OR 97914. The listed phone number is (801) 261-3975.

What is James Roth's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Roth enrolled in Medicare?

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

Which organizations bill Medicare for James Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Roth reassigns Medicare benefits to 6 organizations: Valley Family Health Care, Inc (Ontario, OR), Grande Ronde Hospital, Inc. (La Grande, OR), Sisters Of Providence In Oregon (Shady Cove, OR), Providence Health & Services - Oregon (Medford, OR), Providence Health & Services Oregon (Seaside, OR) 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 James Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Roth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and Select Health list James 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 James Roth was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.