JESSICA ANN ROTH
NPI 1487121489
Physician Assistant in Boston, MA

Q: What is Jessica Roth's NPI number?

The NPI number for Jessica Roth is 1487121489. It was assigned to this individual provider in the NPPES registry on October 28, 2018.

Q: What is Jessica Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Roth was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since October 28, 2018PECOS Enrolled

800 WASHINGTON ST, BOSTON, MA 02111(617) 636-7846(617) 636-5178 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, Feb 3, 2021, Oct 28, 2018 (3 updates tracked since 2018).

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About Jessica Ann Roth NPPES

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

JESSICA ANN ROTH (NPI 1487121489) is an individual physician assistant in Boston, Massachusetts and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Tufts Medical Center, and maintains a secondary practice location in Pittsford.

NPPES Registry Identity

NPI1487121489

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJESSICA ANN ROTH

Location Address800 WASHINGTON STBoston, MA 02111-1552

Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-5172 · Fax (617) 636-5178

Phone(617) 636-7846

Fax(617) 636-5178

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateOctober 28, 2018

Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration

NPPES CertifiedAugust 19, 2025

✔ NPI 1487121489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA6909 (MA)

800 WASHINGTON ST, Boston, MA 02111

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Secondary Practice Location 1

Location 1155 Caversham WoodsPittsford, NY 14534-2844 · Phone (585) 330-5849

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

PECOS PAC ID3173954120

PECOS Enrollment IDI20200507002592

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.

Hospital Affiliations CMS Care Compare

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

Tufts Medical Center

Acute Care Hospitals · Boston, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220116

Location800 Washington StreetBoston, MA 02111 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

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.

AARON DICKSTEIN M.D.

Internal Medicine (Gastroenterology)

800 WASHINGTON ST, BOX 233
BOSTON, MA 02111

Suffolk County (617) 636-5883

THOMAS E BIGELOW

Technician/Technologist (Optician)

800 WASHINGTON ST, BOX 450
BOSTON, MA 02111

Suffolk County (617) 636-5857

SARAH MERRIMAN PERSING M.D.

Plastic Surgery