ROY A ROTHMAN DPM
NPI 1679550016
Podiatrist in Debary, FL

Active since December 28, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 10D0716339 · Waiver
91.09/100
CMS Quality Rating
2836 ENTERPRISE RD, SUITE 2, DEBARY, FL 32713(386) 753-1918(386) 753-1902 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roy A Rothman Dpm NPPES

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

ROY A ROTHMAN DPM (NPI 1679550016) is an individual podiatrist in Debary, Florida, licensed in Florida (PO-2059) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2026, and is affiliated with Adventhealth Deland.

NPPES Registry Identity

NPI1679550016
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameROY A ROTHMANCredential: DPM
Location Address2836 ENTERPRISE RD, SUITE 2Debary, FL 32713-5210
Mailing Address2836 Enterprise Rd, Suite 2Debary, FL 32713-5210 · (386) 753-1918 · Fax (386) 753-1902
Fax(386) 753-1902
Sole ProprietorYes
Medical School CMSNew York College Of Podiatric MedicineGraduated 1989
Enumeration DateDecember 28, 2005
Last NPPES UpdateJanuary 12, 2009
NPI 1679550016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in FL · PO-2059
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
2836 ENTERPRISE RD, Debary, FL 32713

Other Identifiers 3

Medicare NSC0935850001FL
Medicare PIN65145FL
Medicare UPINU02074FL

Accepted Insurance

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

Roy A Rothman Dpm 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 ID4789774746
PECOS Enrollment IDI20100716000676
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0716339

Roy A Rothman Dpm PA · De Bary, FL
Active · expires Aug 31, 2026
CLIA Number10D0716339
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRoy A. Rothman
Laboratory Phone(386) 753-1918
Laboratory LocationRoy A Rothman Dpm PA2836 Enterprise Road Suite 2, De Bary, FL 32713
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 28

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.

Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
449 services145 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.
403 services229 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
339 services101 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
338 services212 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
311 services94 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
258 services81 patients

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Deland

Acute Care Hospitals · Deland, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100045
Location701 W Plymouth AveDeland, FL 32720 · Volusia County
Emergency services

Adventhealth Fish Memorial

Acute Care Hospitals · Orange City, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100072
Location1055 Saxon BlvdOrange City, FL 32763 · Volusia County
Emergency services Birthing friendly

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100161
Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32713 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

91.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.74
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%679 patients4/55-star benchmark: 100%
Bunion Outcome - Adult and Adolescent
0%63 patients1/55-star benchmark: 92%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
93%267 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
91%267 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,039 patients5/55-star benchmark: 100%
Falls: Plan of Care
16%55 patients
Hammer Toe Outcome
0%58 patients
Heel Pain Treatment Outcomes for Adults
37%129 patients
Patient-Centered Surgical Risk Assessment and Communication
0%80 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%1,179 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
98%1,180 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,184 patients
Patients screened: 100% · 118 patients
99%1,184 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier15 claims30 services$50.21 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier14 claims84 services$35.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Family Medicine
2836 ENTERPRISE RD, #1
DEBARY, FL 32713
Durable Medical Equipment & Medical Supplies
2836 ENTERPRISE RD, STE 5
DEBARY, FL 32713
Family Medicine
2836 ENTERPRISE RD, SUITE #4
DEBARY, FL 32713
Optometrist
2836 ENTERPRISE RD, SUITE 3
DEBARY, FL 32713
Family Medicine
2836 ENTERPRISE RD, SUITE 4
DEBARY, FL 32713
Nurse Practitioner (Primary Care)
2836 ENTERPRISE RD
DEBARY, FL 32713
Podiatrist (Foot & Ankle Surgery)
2836 ENTERPRISE RD, SUITE 2
DEBARY, FL 32713
Family Medicine
2836 ENTERPRISE RD, SUITE 1
DEBARY, FL 32713

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 Roy Rothman's NPI number?

The NPI number for Roy Rothman is 1679550016. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Roy Rothman located?

Roy Rothman practices at 2836 Enterprise Rd Suite 2, Debary, FL 32713. The listed phone number is (386) 753-1918.

What is Roy Rothman's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Roy Rothman enrolled in Medicare?

Yes. Roy Rothman 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.

Does Roy Rothman hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0716339) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Roy Rothman accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Roy Rothman 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.

Is Roy Rothman affiliated with any hospitals?

According to CMS data, Roy Rothman is affiliated with Adventhealth Deland, Adventhealth Fish Memorial and Central Florida Lake Monroe Hospital.

When was this NPI record last updated?

The NPPES record for Roy Rothman was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.