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JESSICA YVONNE ROTH
NPI 1306588413
Pediatrics in Scott Depot, WV

Active since April 09, 2022PECOS Enrolled
300 CORPORATE CENTER DRIVE, SCOTT DEPOT, WV 25560(304) 691-6800(304) 691-6751 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Apr 9, 2022 (2 updates tracked since 2022).

About Jessica Yvonne Roth NPPES

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

JESSICA YVONNE ROTH (NPI 1306588413) is an individual pediatrics provider in Scott Depot, West Virginia, licensed in West Virginia (35178) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306588413
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA YVONNE ROTH
Location Address300 CORPORATE CENTER DRIVEScott Depot, WV 25560-9026
Mailing Address1448 10th Avenue, Suite 304Huntington, WV 25701-3579 · (304) 691-6381 · Fax (304) 691-8591
Phone(304) 691-6800
Fax(304) 691-6751
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 9, 2022
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
✔ NPI 1306588413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WV · 35178
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 CORPORATE CENTER DRIVE, Scott Depot, WV 25560
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Yvonne Roth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537662879
PECOS Enrollment IDI20250911004448
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25560 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Other Providers at the Same Location NPPES 17

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

RACHEL SALLADE MS, RD, LD
Dietitian, Registered
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800
JAMES NOTTINGHAM FNP-C
Nurse Practitioner
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800
ABDULLAH SHABAREK MD
Pediatrics
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800
GINA LEE LATHEY APRN FNP-BC
Nurse Practitioner (Family)
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800
MR. CHRISTOPHER ANDREW KENNEDY PA-C
Physician Assistant
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800
DR. SUSANNA A. KAPOURALES M.D.
Pediatrics
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-8870
STEPHANIE LEIGH HALPERN FNP-C
Nurse Practitioner
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800
ASHLEY R GRIMMETT PAC
Physician Assistant
300 CORPORATE CENTER DRIVE
SCOTT DEPOT, WV 25560
Putnam County (304) 691-6800

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 Jessica Roth's NPI number?

The NPI number for Jessica Roth is 1306588413. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Jessica Roth located?

Jessica Roth practices at 300 Corporate Center Drive, Scott Depot, WV 25560. The listed phone number is (304) 691-6800.

What is Jessica Roth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Roth enrolled in Medicare?

Yes. Jessica Roth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica 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.