DR. BRADLEY ROTER M.D.
NPI 1528045705
Family Medicine in Seattle, WA

NPI Status: Active since December 28, 2005

Contact Information

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122
Phone: (206) 320-2484

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  • Individual
  • Male
  • Years of Experience 40
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About BRADLEY ROTER

This page provides the complete NPI Profile along with additional information for Bradley Roter, a primary care provider established in Seattle, Washington with a medical specialization in Family Medicine and more than 40 years of experience. He graduated from Washington University School Of Medicine in 1986. The healthcare provider is registered in the NPI registry with number 1528045705 assigned on December 2005. The practitioner's primary taxonomy code is 207Q00000X with license number MD00026420 (WA). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1528045705
Provider Name
DR. BRADLEY ROTER M.D.
Gender
Male
Entity Type
Individual
Location Address
550 16TH AVE STE 100 SEATTLE, WA 98122
Location Phone
(206) 320-2484
Mailing Address
13320 108TH AVE SW VASHON, WA 98070
Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1986
Is Sole Proprietor?
No
Enumeration Date
12-28-2005
Last Update Date
05-29-2024
Code Navigator

A primary care provider (PCP) like Bradley Roter sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 10030 SW 210th St
    Vashon, WA 98070
    (253) 681-6626

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00026420
License State
WA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Navigator Bronze 7000 Exchange - PPO
  • Navigator Bronze 9200 - PPO
  • Navigator Bronze HSA 8050 - PPO
  • Navigator Gold 1500 - PPO
  • Navigator Gold 1500 Exchange - PPO
  • Navigator Gold 500 Exchange - PPO
  • Navigator Silver 3500 Exchange - PPO
  • Navigator Silver 4000 Exchange - PPO
  • Navigator Silver 5000 - PPO
  • Navigator Silver HSA 3500 - PPO
  • Navigator Standard Expanded Bronze - PPO
  • Navigator Standard Gold - PPO
  • Navigator Standard Silver - PPO
  • PacificSource Oregon Standard Bronze Plan NAV - PPO
  • PacificSource Oregon Standard Gold Plan NAV - PPO
  • PacificSource Oregon Standard Silver Plan NAV - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
8115073MEDICAID (05)WA 

Medicare Participation & PECOS Enrollment Status

Bradley Roter is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Bradley Roter is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9931356912

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120827000416

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $24.35 for a new patient copayment and $27.75 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 98122 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $97.43
  • Minimum New Patient Price $63.67
  • Maximum New Patient Price $189.37
  • Average New Patient Copayment $24.35
  • Minimum New Patient Copayment $15.91
  • Maximum New Patient Copayment $47.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111
  • Minimum Established Patient Price $21.12
  • Maximum Established Patient Price $155
  • Average Established Patient Copayment $27.75
  • Minimum Established Patient Copayment $5.28
  • Maximum Established Patient Copayment $38.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. BRADLEY ROTER M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528045705
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548041070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 0 + 4 + 1 + 0 + 7 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1528045705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JOSEPH A. SHAMSELDIN MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

GREGORY A. ENGEL MD

Orthopaedic Surgery

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

SHAUNA M. SMITH MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

RAYBURN S. LEWIS MD

Internal Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

SUSAN L. ROSE PA-C

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

KAREN R. AISLINN MSW

Social Worker

(Clinical)

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

EVELYN L. GUNTHER RN

Registered Nurse

(Case Management)

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

ALLYSON HEATH CHAMBERS MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2233

DR. CHRISTOPHER TODD WINKLER PHARMD

Pharmacist

(Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2933

TUAN-ANH DUC NGUYEN M.D.

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

MRS. PAIGE KASAI M.D.

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

DR. PETER JAMES BERBERIAN M.D.

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 762-3730

EMILY FLYNN

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 299-1900

HAILEY L. WILSON M.D.

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(306) 324-8484

LAURA MICHELLE IRELAND M.D.

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

DR. CHINYERE IRENE OBIMBA MD, MPH

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 299-1900

STEPHANIE THAO THANH NGO MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

DR. HIEU PHAM MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 709-7112

DINELLE MARIA PINEDA MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2233

TANMEET K. SETHI MD

Family Medicine

550 16TH AVE STE 100
SEATTLE, WA
ZIP 98122

(206) 320-2484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528045705, enumerated as an "individual" on December 28, 2005.

The provider is located at 550 16TH AVE STE 100 SEATTLE, WA 98122 and the phone number is (206) 320-2484.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.