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DR. DONNA E ROTH M.D.
NPI 1518964758
Dermatology in Lexington, KY

Active since July 01, 2005PECOS Enrolled
100/100
CMS Quality Rating
3475 RICHMOND RD, STE 200, LEXINGTON, KY 40509(859) 296-4400(859) 296-4300 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Donna E Roth M.d. NPPES

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

DR. DONNA E ROTH M.D. (NPI 1518964758) is an individual dermatology provider in Lexington, Kentucky, licensed in Kentucky (25432) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518964758
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. DONNA E ROTHCredential: M.D.
Location Address3475 RICHMOND RD, STE 200Lexington, KY 40509-2500
Mailing Address3475 Richmond Rd, Ste 200Lexington, KY 40509-2500 · (859) 296-4400 · Fax (859) 296-4300
Phone(859) 296-4400
Fax(859) 296-4300
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateMay 5, 2008
✔ NPI 1518964758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in KY · 25432
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3475 RICHMOND RD, Lexington, KY 40509
Open in Google Maps ↗

Other Identifiers 4

Other000000317657KY · Anthem Provider Number
Other000000007043KY · Cha Provider Number
Other0007542016KY · Aetna Provider Number
Medicare PIN0799402KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donna E Roth M.d. 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 Donna Roth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John L. Buker, M.D., Psc
0.1 mi
Dermatology
3475 RICHMOND RD, SUITE 200
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 7 clinicians in this Medicare group
NPI 1114197803 (859) 296-4400

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
119 services32 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.
107 services104 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
48 services46 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
27 services27 patients
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.
26 services26 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
25 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%74 patients5/55-star benchmark: 100%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%1,068 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,013 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
86%580 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%2,865 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
79%1,067 patients4/55-star benchmark: 95%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
97%30 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%2,865 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,865 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%137 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

DR. DANA BLACK M.D.
Dermatology
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
JOHN L. BUKER, M.D., PSC
Dermatology
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
DANELLE OWENS PA-C
Physician Assistant
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
MORGAN WELLS CHAMBERS DMD
Dentist (General Practice)
3475 RICHMOND RD, SUITE 100
LEXINGTON, KY 40509
Fayette County (859) 543-0505
JOHN L BUKER MD PSC
Dermatology
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
DR. AMANDA JO JOHNSON DMD
Dentist
3475 RICHMOND RD, SUITE 100
LEXINGTON, KY 40509
Fayette County (859) 543-0505
DR. JOHN L BUKER M.D.
Dermatology (MOHS-Micrographic Surgery)
3475 RICHMOND RD, STE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400
SHERRI L. BAER PA-C
Physician Assistant
3475 RICHMOND RD, SUITE 200
LEXINGTON, KY 40509
Fayette County (859) 296-4400

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 Donna Roth's NPI number?

The NPI number for Donna Roth is 1518964758. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Donna Roth located?

Donna Roth practices at 3475 Richmond Rd Ste 200, Lexington, KY 40509. The listed phone number is (859) 296-4400.

What is Donna Roth's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Donna Roth enrolled in Medicare?

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

Which organization bills Medicare for Donna Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Roth reassigns Medicare benefits to John L. Buker, M.D., Psc (Lexington, KY). 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 Donna 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 Donna Roth was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.