RACHEL LAUREN ROTH MD
NPI 1225665177
Radiology - Diagnostic Radiology in Chapel Hill, NC

NPI Status: Active since March 23, 2020

Contact Information

101 MANNING DR
CHAPEL HILL, NC
ZIP 27514
Phone: (919) 966-9047
Fax: (919) 962-9625

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  • Individual
  • Female
  • Years of Experience 6
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About RACHEL ROTH

This page provides the complete NPI Profile along with additional information for Rachel Roth, a provider established in Chapel Hill, North Carolina with a medical specialization in Radiology, focusing in diagnostic radiology and more than 6 years of experience. She graduated from University Of South Carolina School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1225665177 assigned on March 2020. The practitioner's primary taxonomy code is 2085R0202X with license number 2025-01786 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1225665177
Provider Name
RACHEL LAUREN ROTH MD
Other Name
RACHEL LAUREN HILL MD
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
101 MANNING DR CHAPEL HILL, NC 27514
Location Phone
(919) 966-9047
Location Fax
(919) 962-9625
Mailing Address
101 MANNING DR CHAPEL HILL, NC 27514
Mailing Phone
(919) 966-9047
Mailing Fax
(919) 962-9625
Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
03-23-2020
Last Update Date
06-20-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
2025-01786
License State
NC
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Rachel Roth is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Rachel Roth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1456774090

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250911004903

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27514 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for RACHEL LAUREN ROTH MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1225665177, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 4 + 5 + 1 + 2 + 6 + 1 + 0 + 1 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1225665177.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Pharmacist (Pharmacotherapy)
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Practitioner (Family)
101 MANNING DR
CHAPEL HILL, NC 27514
Medical Genetics, Ph.D. Medical Genetics
101 MANNING DR, ROOM 1071, 1ST FLOOR MEMORIAL HOSPITAL, CYTOGENETICS
CHAPEL HILL, NC 27514
Internal Medicine (Gastroenterology)
101 MANNING DR
CHAPEL HILL, NC 27514
Pediatrics (Pediatric Gastroenterology)
101 MANNING DR, UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
CHAPEL HILL, NC 27514
Physical Therapist (Hand)
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514
Nurse Anesthetist, Certified Registered
101 MANNING DR
CHAPEL HILL, NC 27514

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225665177, enumerated as an "individual" on March 23, 2020.

The provider is located at 101 MANNING DR CHAPEL HILL, NC 27514 and the phone number is (919) 966-9047.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.