NORMAN ROTH M.S., M.D.
NPI 1568828259
Internal Medicine - Cardiovascular Disease in Wallingford, CT

Q: What is Norman Roth's NPI number?

The NPI number for Norman Roth is 1568828259. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Q: What is Norman Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Norman Roth was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 11, 2016PECOS EnrolledAccepts Medicare Assignment

95.12/100

CMS Quality Rating

1062 BARNES RD STE 300, WALLINGFORD, CT 06492(605) 251-5328 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 16, 2020, Jul 16, 2019, Jan 11, 2016 (3 updates tracked since 2016).

On this page

About Norman Roth M.s., M.d. NPPES

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

NORMAN ROTH M.S., M.D. (NPI 1568828259) is an individual cardiovascular disease provider in Wallingford, Connecticut, licensed in Connecticut (63322) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of New York Medical College (2013).

NPPES Registry Identity

NPI1568828259

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameNORMAN ROTHCredential: M.S., M.D.

Location Address1062 BARNES RD STE 300Wallingford, CT 06492-2576

Mailing Address1062 Barnes Rd, Ste 300Wallingford, CT 06492-2576 · (203) 265-9831

Phone(605) 251-5328

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2013

Enumeration DateJanuary 11, 2016

Last NPPES UpdateJanuary 16, 20203 updates tracked since enumeration

✔ NPI 1568828259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CT · 63322

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1062 BARNES RD STE 300, Wallingford, CT 06492

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1433 S Main StWest Hartford, CT 06110-1670 · Phone (860) 522-0604

Location 2305 Western Blvd Ste 100Glastonbury, CT 06033-4380 · Phone (860) 522-0604

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Norman Roth M.s., M.d. 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 ID8921348699

PECOS Enrollment IDI20190729002539

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

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

Midstate Medical Center

4.8 mi

General Acute Care Hospital

435 LEWIS AVE
Meriden, CT 06451

Reassigned Medicare billing, Connecticut enrollment
505 clinicians in this Medicare group

NPI 1154425288 (860) 696-6287

Hartford Hospital

19 mi

Surgery

80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102

Reassigned Medicare billing, Connecticut enrollment
1,333 clinicians in this Medicare group

NPI 1407806391 (860) 545-7602

Consulting Cardiologists, P.C.

19 mi

Cardiovascular Disease

85 SEYMOUR ST, SUITE 719
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
Medicare enrollment name: Consulting Cardiologists PC
21 clinicians in this Medicare group

NPI 1053353656 (860) 522-0604

Connecticut Heart Physicians, Inc.

26 mi

Cardiovascular Disease

835 BLOOMFIELD AVE
Windsor, CT 06095

Reassigned Medicare billing, Connecticut enrollment
34 clinicians in this Medicare group

NPI 1477588002 (860) 688-0033

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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

440 services269 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.

420 services242 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

271 services224 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

130 services33 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

126 services19 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

98 services50 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

69 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

67 services65 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

64 services64 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

57 services33 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

52 services51 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

50 services17 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

48 services48 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

43 services43 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

42 services15 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

31 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

25 services25 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and review and report by health care professional 93268

An Electrocardiogram (ECG) is a non-invasive test that records the heart's electrical activity. With continuous monitoring for up to 30 days, it helps detect irregularities or abnormalities. If symptoms occur, they're noted for review. A health professional then analyzes the data and provides a report.

20 services20 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

19 services19 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.

18 services18 patients

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional 93224

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

16 services16 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

13 services13 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

13 services13 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

13 services13 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06492 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

$138.84 typical visit price

range $60.82 – $183.10

Typical copayment $34.71 (range $15.20 – $45.77)

Most-billed visit code 99204

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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.

95.12/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

74.77

Promoting Interoperability

Improvement Activities

Cost

90.12

Reported Quality Measures

Breast Cancer Screening

1%423 patients1/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

10%122 patients1/55-star benchmark: 87%

Colorectal Cancer Screening

0%1,034 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

79%609 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

76%41 patients3/55-star benchmark: 99%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

97%131 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

92%2,999 patients4/55-star benchmark: 100%

e-Prescribing

99%1,159 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

19%1,667 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

31%1,499 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 69% · 908 patients

Patients screened: 74% · 908 patients

2%46 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

74%623 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

86%677 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 894 patients

Patients totalRate: 0% · 894 patients

0%894 patients5/55-star benchmark: 100%

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 3

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

ALLISON PADEGIMAS M.D.

Internal Medicine (Cardiovascular Disease)

1062 BARNES RD STE 300
WALLINGFORD, CT 06492

South Central Connecticut Planning Region (203) 265-9831

KATHRYN BELLICO CAPPIELLO APRN

Nurse Practitioner (Family)

1062 BARNES RD STE 300
WALLINGFORD, CT 06492

South Central Connecticut Planning Region (203) 265-9831

ZAIN AHMED M.D.

Internal Medicine (Cardiovascular Disease)

1062 BARNES RD STE 300
WALLINGFORD, CT 06492

South Central Connecticut Planning Region (203) 265-9831

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 Norman Roth's NPI number?

The NPI number for Norman Roth is 1568828259. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Norman Roth located?

Norman Roth practices at 1062 Barnes Rd Ste 300, Wallingford, CT 06492. The listed phone number is (605) 251-5328.

What is Norman Roth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Norman Roth enrolled in Medicare?

Yes. Norman 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 Norman Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Norman Roth reassigns Medicare benefits to 4 organizations: Midstate Medical Center (Meriden, CT), Hartford Hospital (Hartford, CT), Consulting Cardiologists, P.C. (Hartford, CT) and Connecticut Heart Physicians, Inc. (Windsor, CT). 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 Norman Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Norman Roth accept?

Health plans from Anthem Blue Cross and Blue Shield list Norman 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.

When was this NPI record last updated?

The NPPES record for Norman Roth was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.