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DOUGLAS A ROTH MD
NPI 1205873924
Plastic Surgery in Mount Kisco, NY

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 10549(914) 241-1050(914) 242-2909 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas A Roth Md NPPES

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

DOUGLAS A ROTH MD (NPI 1205873924) is an individual plastic surgery provider in Mount Kisco, New York, licensed in New York (186557) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1990).

NPPES Registry Identity

NPI1205873924
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDOUGLAS A ROTHCredential: MD
Location Address90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PCMount Kisco, NY 10549-3412
Mailing Address110 S Bedford Rd, Mount Kisco Medical Group, PcMount Kisco, NY 10549-3446 · (914) 241-1050 · Fax (914) 242-2909
Phone(914) 241-1050
Fax(914) 242-2909
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1990
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 22, 2016
✔ NPI 1205873924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NY · 186557
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
90 S BEDFORD RD, Mount Kisco, NY 10549
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Other Identifiers 3

Medicare UPING89601NY
Medicare PIN38L9406761NY
Medicaid01921351NY

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

Douglas A 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 ID5890726400
PECOS Enrollment IDI20050823001173
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 3

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
25 services25 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.
15 services14 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10549 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

KIMBERLY ERIN CHU MD
Pathology (Anatomic Pathology & Clinical Pathology)
90 S BEDFORD RD, CAREMOUNT MEDICAL PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
PAUL D KANDEL MD
Internal Medicine
90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
KAYLA MANCUSI RN
Registered Nurse (Women's Health Care, Ambulatory)
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 242-1380
CORINNE MARIE REILLY PA
Physician Assistant
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
ALPHONSE AVERSA MD
Internal Medicine
90 S BEDFORD RD, CARE MOUNT MEDICAL RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
HENRY HERMAN JANSSEN JR. M.D.
Radiology (Diagnostic Radiology)
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
LARA K NAYOR NP
Nurse Practitioner (Family)
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 241-1050
DR. RENE TALAI MD
Family Medicine
90 S BEDFORD RD
MOUNT KISCO, NY 10549
Westchester County (914) 242-1050

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 Douglas Roth's NPI number?

The NPI number for Douglas Roth is 1205873924. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Douglas Roth located?

Douglas Roth practices at 90 S Bedford Rd Mount Kisco Medical Group, PC, Mount Kisco, NY 10549. The listed phone number is (914) 241-1050.

What is Douglas Roth's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Douglas Roth enrolled in Medicare?

Yes. Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Roth was last updated on July 22, 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.