TERRIE LYN ROTH FNP-BC
NPI 1265928162
Nurse Practitioner - Family in Oakland, MD

Active since July 03, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
13079 GARRETT HWY, OAKLAND, MD 21550(844) 424-0411 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2021, Oct 20, 2020, Jul 3, 2018 (3 updates tracked since 2018).

About Terrie Lyn Roth Fnp-bc NPPES

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

TERRIE LYN ROTH FNP-BC (NPI 1265928162) is an individual family provider in Oakland, Maryland, licensed in West Virginia (63537) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265928162
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERRIE LYN ROTHCredential: FNP-BC
Location Address13079 GARRETT HWYOakland, MD 21550-1163
Mailing Address182 Burnett RdOakland, MD 21550-7947 · (240) 321-3335
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 3, 2018
Last NPPES UpdateJuly 24, 20253 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1265928162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WV · 63537
13079 GARRETT HWY, Oakland, MD 21550

Accepted 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

Terrie Lyn Roth Fnp-bc 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 ID446502587
PECOS Enrollment IDI20181017003080, I20200401001475
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 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.
540 services355 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.
244 services206 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number511316
Location117 Hospital DrivePetersburg, WV 26847 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21550 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Internal Medicine (Cardiovascular Disease)
13079 GARRETT HWY
OAKLAND, MD 21550

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 Terrie Roth's NPI number?

The NPI number for Terrie Roth is 1265928162. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Terrie Roth located?

Terrie Roth practices at 13079 Garrett Hwy, Oakland, MD 21550. The listed phone number is (844) 424-0411.

What is Terrie Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Terrie Roth enrolled in Medicare?

Yes. Terrie 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.

What insurance does Terrie Roth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Terrie 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.

Is Terrie Roth affiliated with any hospitals?

According to CMS data, Terrie Roth is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center, West Virginia University Hospitals, Inc, Potomac Valley Hospital and Grant Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Terrie Roth was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.