KATHLEEN MARIE ROTH PA-C
NPI 1538405279
Physician Assistant in Pittsburgh, PA

Active since December 28, 2012PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5201 BAUM BLVD, SHADYSIDE MEDEXPRESS, PITTSBURGH, PA 15224(412) 687-3627 Get Directions Write a Review

NPPES record last updated: December 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Marie Roth Pa-c NPPES

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

KATHLEEN MARIE ROTH PA-C (NPI 1538405279) is an individual physician assistant in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA055869) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1538405279
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN MARIE ROTHCredential: PA-C
Location Address5201 BAUM BLVD, SHADYSIDE MEDEXPRESSPittsburgh, PA 15224-2303
Mailing Address389 Banbury DrRochester, NY 14612-5918 · (585) 705-7214
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 28, 2012
NPI 1538405279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA055869
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.
5201 BAUM BLVD, Pittsburgh, PA 15224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen Marie Roth Pa-c 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 ID6305091059
PECOS Enrollment IDI20130301000251
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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
38 services37 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 3

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

Physician Assistant (Medical)
5201 BAUM BLVD
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
5201 BAUM BLVD
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
5201 BAUM BLVD
PITTSBURGH, PA 15224

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 Kathleen Roth's NPI number?

The NPI number for Kathleen Roth is 1538405279. It was assigned to this individual provider in the NPPES registry on December 28, 2012.

Where is Kathleen Roth located?

Kathleen Roth practices at 5201 Baum Blvd Shadyside Medexpress, Pittsburgh, PA 15224. The listed phone number is (412) 687-3627.

What is Kathleen Roth's specialty?

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

Is Kathleen Roth enrolled in Medicare?

Yes. Kathleen 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.

Is Kathleen Roth affiliated with any hospitals?

According to CMS data, Kathleen Roth is affiliated with Upmc Mercy.

When was this NPI record last updated?

The NPPES record for Kathleen Roth was last updated on December 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.