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DR. JUSTIN STEPHAN ROTH D.O.
NPI 1306109954
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Meridian, ID

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
3399 E LOUISE DR STE 200, MERIDIAN, ID 83642(208) 706-2663 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 28, 2023, Jul 21, 2022, May 9, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Justin Stephan Roth D.o. NPPES

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

DR. JUSTIN STEPHAN ROTH D.O. (NPI 1306109954) is an individual pediatric orthopaedic surgery provider in Meridian, Idaho, licensed in Idaho (O-1847) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306109954
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameDR. JUSTIN STEPHAN ROTHCredential: D.O.
Location Address3399 E LOUISE DR STE 200Meridian, ID 83642-5212
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 706-2663
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateJuly 28, 20236 updates tracked since enumeration
NPPES CertifiedJuly 28, 2023
✔ NPI 1306109954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
Licenses✔ Licensed in ID · O-1847✔ Licensed in OR · 187405
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
3399 E LOUISE DR STE 200, Meridian, ID 83642
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12200 NE Neff Rd Ste 200Bend, OR 97701-4281 · Phone (541) 382-3344
Location 24625 Lindell Blvd, Suite 420St. Louis, MO 63108-3927 · Phone (314) 747-2555 · Fax (314) 747-2555

Other Identifiers 2

Medicaid500746847OR
Other187405OR · Oregon Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Dr. Justin Stephan Roth D.o. 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 ID1850660531
PECOS Enrollment IDI20230809002645
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

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Referred Medical Equipment & Supplies CMS DME claims

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

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier12 claims12 services$164.27 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 4

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

SABRINA DLOUHY PA-C
Physician Assistant
3399 E LOUISE DR STE 200
MERIDIAN, ID 83642
Ada County (208) 706-2663
JULIE MARIE JOHNSON MD
Orthopaedic Surgery
3399 E LOUISE DR STE 200
MERIDIAN, ID 83642
Ada County (208) 706-2663
DR. JUAN TRINIDAD CEJA SOLORIO DPM
Podiatrist (Foot & Ankle Surgery)
3399 E LOUISE DR STE 200
MERIDIAN, ID 83642
Ada County (208) 706-2663
DR. ZACHARY CHARLES YENNA M.D.
Orthopaedic Surgery
3399 E LOUISE DR STE 200
MERIDIAN, ID 83642
Ada County (208) 706-2663

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 Justin Roth's NPI number?

The NPI number for Justin Roth is 1306109954. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Justin Roth located?

Justin Roth practices at 3399 E Louise Dr Ste 200, Meridian, ID 83642. The listed phone number is (208) 706-2663.

What is Justin Roth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Justin Roth enrolled in Medicare?

Yes. Justin 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 Justin Roth accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Justin 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 Justin Roth affiliated with any hospitals?

According to CMS data, Justin Roth is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Roth was last updated on July 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.