DR. ROBERT B ROTH MD
NPI 1386684231
Internal Medicine - Cardiovascular Disease in Milwaukee, WI

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
2350 N LAKE DR, SUITE 400, MILWAUKEE, WI 53211(414) 271-1633(414) 271-5071 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert B Roth Md NPPES

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

DR. ROBERT B ROTH MD (NPI 1386684231) is an individual cardiovascular disease provider in Milwaukee, Wisconsin, licensed in Wisconsin (29385) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (1982).

NPPES Registry Identity

NPI1386684231
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ROBERT B ROTHCredential: MD
Location Address2350 N LAKE DR, SUITE 400Milwaukee, WI 53211-4528
Mailing Address4425 N Port Washington Rd, Attn: Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 271-1633 · Fax (414) 271-5071
Fax(414) 271-5071
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1982
Enumeration DateJune 8, 2006
Last NPPES UpdateJune 12, 2012
NPI 1386684231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WI · 29385
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2350 N LAKE DR, Milwaukee, WI 53211

Other Identifiers 3

Medicare ID-Type Unspecified02665WI
Medicaid31421500WI
Medicare UPINC65195WI

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

Dr. Robert B 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 ID2961305941
PECOS Enrollment IDI20040128000664, I20250620000016
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.

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
88 services17 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
48 services11 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

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.

Obstetrics & Gynecology
2350 N LAKE DR
MILWAUKEE, WI 53211
Clinic/Center (Multi-Specialty)
2350 N LAKE DR
MILWAUKEE, WI 53211
Surgery
2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211
Physician Assistant
2350 N LAKE DR, SUITE 206
MILWAUKEE, WI 53211
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Nurse Practitioner (Family)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Nurse Practitioner
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Physical Therapist
2350 N LAKE DR
MILWAUKEE, WI 53211

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 Robert Roth's NPI number?

The NPI number for Robert Roth is 1386684231. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Robert Roth located?

Robert Roth practices at 2350 N Lake Dr Suite 400, Milwaukee, WI 53211. The listed phone number is (414) 271-1633.

What is Robert Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Roth enrolled in Medicare?

Yes. Robert 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 Robert Roth accept?

Health plans from Medica list Robert 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.

When was this NPI record last updated?

The NPPES record for Robert Roth was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.