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DR. JAMES EDWARD ROTH MD
NPI 1437105608
Anesthesiology - Pain Medicine in Manchester, TN

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1600 MCARTHUR ST, MANCHESTER, TN 37355(931) 723-7950 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. James Edward Roth Md NPPES

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

DR. JAMES EDWARD ROTH MD (NPI 1437105608) is an individual pain medicine provider in Manchester, Tennessee, licensed in Tennessee (MD17117) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Unity Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1985).

NPPES Registry Identity

NPI1437105608
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. JAMES EDWARD ROTHCredential: MD
Location Address1600 MCARTHUR STManchester, TN 37355-2522
Mailing Address801 Huntington CirNashville, TN 37215-6112 · (615) 943-9294 · Fax (931) 723-7815
Phone(931) 723-7950
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1985
Enumeration DateMay 26, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1437105608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in TN · MD17117
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License MD17117 (TN)
1600 MCARTHUR ST, Manchester, TN 37355
Open in Google Maps ↗

Other Identifiers 3

Other4130055TN · Bluecross Bluesheild Tn
Other5358058TN · Aetna
Medicaid4130055TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Edward 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 ID1557263316
PECOS Enrollment IDI20081006000352
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 Reassignments

4

Medicare enrollment records show James Roth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Proxima Centauri, PLLC
Same address
Pain
1600 MCARTHUR ST
Manchester, TN 37355
  • Reassigned Medicare billing, Tennessee enrollment
  • 2 clinicians in this Medicare group
NPI 1982972857 (931) 723-7950
Coffee Medical Group LLC
3.0 mi
Rural
481 INTERSTATE DR
Manchester, TN 37355
  • Reassigned Medicare billing, Tennessee enrollment
  • 53 clinicians in this Medicare group
NPI 1013969179 (931) 728-3586
Spero Health Of Tennessee, LLC
45 mi
Rehabilitation, Substance Use Disorder
301 WOLVERINE TRL
Smyrna, TN 37167
  • Reassigned Medicare billing, Tennessee enrollment
  • 46 clinicians in this Medicare group
NPI 1538628904 (615) 751-0579
Southeastern Emergency Physicians LLC
253 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

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

Areas of Expertise CMS Part B claims 6

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.
702 services195 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.
699 services180 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
66 services63 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
64 services64 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
35 services11 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Unity Medical Center

Acute Care Hospitals · Manchester, TN
OwnershipVoluntary non-profit - Private
CMS Certification Number440007
Location481 Interstate DriveManchester, TN 37355 · Coffee County
Emergency services

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440058
Location185 Hospital RoadWinchester, TN 37398 · Franklin County
Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Saint Thomas River Park Hospital

Acute Care Hospitals · Mcminnville, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440151
Location1559 Sparta StreetMcminnville, TN 37110 · Warren 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 17

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers44 claims44 services$39.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
14 suppliers146 claims146 services$110.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers187 claims455 services$41.33 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
16 suppliers104 claims542 services$22.51 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers40 claims159 services$17.53 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers120 claims120 services$64.11 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

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

PROXIMA CENTAURI, PLLC
Clinic/Center (Pain)
1600 MCARTHUR ST
MANCHESTER, TN 37355
Coffee County (931) 723-7950

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 James Roth's NPI number?

The NPI number for James Roth is 1437105608. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is James Roth located?

James Roth practices at 1600 Mcarthur St, Manchester, TN 37355. The listed phone number is (931) 723-7950.

What is James Roth's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is James Roth enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Roth reassigns Medicare benefits to 4 organizations: Proxima Centauri, PLLC (Manchester, TN), Coffee Medical Group LLC (Manchester, TN), Spero Health Of Tennessee, LLC (Smyrna, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each 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 James Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Roth accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list James 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 James Roth affiliated with any hospitals?

According to CMS data, James Roth is affiliated with Unity Medical Center, Southern Tennessee Regional Hlth System Winchester, Vanderbilt Tullahoma-Harton Hospital and Saint Thomas River Park Hospital.

When was this NPI record last updated?

The NPPES record for James Roth was last updated on March 7, 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.