TRAVIS L ROETHLER PA-C
NPI 1164400057
Physician Assistant in Faribault, MN

Q: What is Travis Roethler's NPI number?

The NPI number for Travis Roethler is 1164400057. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Q: What is Travis Roethler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Travis Roethler was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment

300 STATE AVE, FARIBAULT, MN 55021(507) 333-3300 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2020, Jun 21, 2019 (2 updates tracked since 2019).

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About Travis L Roethler Pa-c NPPES

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

TRAVIS L ROETHLER PA-C (NPI 1164400057) is an individual physician assistant in Faribault, Minnesota, licensed in Minnesota (9141) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Albert Lea And Austin, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1164400057

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTRAVIS L ROETHLERCredential: PA-C

Location Address300 STATE AVEFaribault, MN 55021-6319

Mailing Address924 1st St NeFaribault, MN 55021-5441 · (507) 333-3300 · Fax (507) 333-3214

Phone(507) 333-3300

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJanuary 3, 2006

Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration

NPPES CertifiedOctober 26, 2020

✔ NPI 1164400057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 9141

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

300 STATE AVE, Faribault, MN 55021

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Travis L Roethler Pa-c 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 ID547282782

PECOS Enrollment IDI20051230000516

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.

Areas of Expertise CMS Part B claims 6

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.

123 services83 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.

39 services27 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.

30 services29 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

25 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services16 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System - Albert Lea And Austin

Acute Care Hospitals · Albert Lea, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240043

Location404 West Fountain StreetAlbert Lea, MN 56007 · Freeborn County

Emergency services Birthing friendly

Owatonna Hospital

Acute Care Hospitals · Owatonna, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240069

Location2250 26th Street NorthwestOwatonna, MN 55060 · Steele County

Emergency services Birthing friendly

Allina Health Faribault Medical Center

Acute Care Hospitals · Faribault, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number240071

Location200 State AvenueFaribault, MN 55021 · Rice County

Emergency services Birthing friendly

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240093

Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County

Emergency services Birthing friendly

Mayo Clinic Health System - Cannon Falls

Critical Access Hospitals · Cannon Falls, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241346

Location32021 County 24 BoulevardCannon Falls, MN 55009 · Goodhue County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55021 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

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

DME-Other DME · category DE017N

7 suppliers38 claims88 services$6.16 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims17 services$1.06 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers23 claims2,830 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$26.00 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 13

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

MYSOON AYUOB

Family Medicine