1. Home
  2. Directory
  3. California
  4. Escondido
  5. Family Medicine
  6. NPI Profile

GEORGINE DE ROTH MD
NPI 1417965674
Family Medicine in Escondido, CA

Active since August 04, 2006PECOS Enrolled
362 W MISSION AVE STE 105, ESCONDIDO, CA 92025(760) 741-1224(760) 741-1010 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Georgine De Roth Md NPPES

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

GEORGINE DE ROTH MD (NPI 1417965674) is an individual family medicine provider in Escondido, California, licensed in California (C183787) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417965674
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGEORGINE DE ROTHCredential: MD
Location Address362 W MISSION AVE STE 105Escondido, CA 92025-1738
Mailing Address362 W Mission Ave Ste 105Escondido, CA 92025-1738 · (760) 741-1224 · Fax (760) 741-1010
Phone(760) 741-1224
Fax(760) 741-1010
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 28, 2023
NPPES CertifiedMarch 28, 2023
✔ NPI 1417965674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · C183787✔ Licensed in TX · M0052
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
362 W MISSION AVE STE 105, Escondido, CA 92025
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgine De Roth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Georgine De Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Culture Of Life Family Services
Same address
Primary Care
362 W MISSION AVE STE 105
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1679160931 (760) 741-1224

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92025 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 2

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

ELIZABETH SOEWONDO
Nurse Practitioner
362 W MISSION AVE STE 105
ESCONDIDO, CA 92025
San Diego County (760) 741-1224
CULTURE OF LIFE FAMILY SERVICES
Clinic/Center (Primary Care)
362 W MISSION AVE STE 105
ESCONDIDO, CA 92025
San Diego County (760) 741-1224

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 Georgine De Roth's NPI number?

The NPI number for Georgine De Roth is 1417965674. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Georgine De Roth located?

Georgine De Roth practices at 362 W Mission Ave Ste 105, Escondido, CA 92025. The listed phone number is (760) 741-1224.

What is Georgine De Roth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Georgine De Roth enrolled in Medicare?

Yes. Georgine De Roth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Georgine De Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Georgine De Roth reassigns Medicare benefits to Culture Of Life Family Services (Escondido, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Georgine De Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Georgine De Roth was last updated on March 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.