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MR. WILLIAM T. ROTH MD
NPI 1124199989
Family Medicine in Spokane, WA

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
220 E ROWAN AVE STE 200, SPOKANE, WA 99207(509) 483-4403(509) 489-7556 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. William T. Roth Md NPPES

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

MR. WILLIAM T. ROTH MD (NPI 1124199989) is an individual family medicine provider in Spokane, Washington, licensed in Washington (MD00035230) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1993).

NPPES Registry Identity

NPI1124199989
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. WILLIAM T. ROTHCredential: MD
Location Address220 E ROWAN AVE STE 200Spokane, WA 99207-1203
Mailing Address212 E Sanson AveSpokane, WA 99207-1348 · (509) 688-6702 · Fax (509) 688-6792
Phone(509) 483-4403
Fax(509) 489-7556
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1993
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 11, 2016
✔ NPI 1124199989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00035230
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 E ROWAN AVE STE 200, Spokane, WA 99207
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Other Identifiers 2

Medicare UPING52107WA
Other8802665WA · Individual Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Mr. William T. Roth Md 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 ID3274524731
PECOS Enrollment IDI20040521001322
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 Reassignment

Medicare enrollment records show William Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Roth Medical Clinic, LLC
Same address
Clinic/Center
220 E ROWAN AVE STE 200
Spokane, WA 99207
  • Reassigned Medicare billing, Washington enrollment
NPI 1861783847 (509) 483-4403

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 2

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.

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.
204 services80 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.
46 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99207 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
82%180 patients4/55-star benchmark: 92%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
92%102 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,243 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%6,110 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%748 patients3/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
32%407 patients2/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
65%458 patients3/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
19%748 patients1/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
88%24 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers12 claims12 services$39.32 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$53.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers11 claims11 services$18.31 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims86 services$2.26 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers22 claims22 services$38.47 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
3 suppliers19 claims19 services$85.78 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

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

ROTH MEDICAL CLINIC, LLC
Clinic/Center
220 E ROWAN AVE STE 200
SPOKANE, WA 99207
Spokane County (509) 483-4403

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 William Roth's NPI number?

The NPI number for William Roth is 1124199989. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is William Roth located?

William Roth practices at 220 E Rowan Ave Ste 200, Spokane, WA 99207. The listed phone number is (509) 483-4403.

What is William Roth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is William Roth enrolled in Medicare?

Yes. William Roth 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 organization bills Medicare for William Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Roth reassigns Medicare benefits to Roth Medical Clinic, LLC (Spokane, WA). The 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 William Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Roth accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list William 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 William Roth was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.