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ERIN A ROTH
NPI 1689158842
Nurse Practitioner in Reading, PA

Active since September 24, 2018PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
4885 DEMOSS RD, READING, PA 19606(610) 898-5660(610) 779-8083 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Erin A Roth NPPES

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

ERIN A ROTH (NPI 1689158842) is an individual nurse practitioner in Reading, Pennsylvania, licensed in Pennsylvania (SP019301) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1689158842
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIN A ROTH
Location Address4885 DEMOSS RDReading, PA 19606-9023
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(610) 898-5660
Fax(610) 779-8083
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 24, 2018
✔ NPI 1689158842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP019301
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4885 DEMOSS RD, Reading, PA 19606
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Erin A Roth 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 ID5597019927
PECOS Enrollment IDI20181121000381
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 7

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.

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.
360 services212 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.
127 services104 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
42 services42 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
24 services24 patients
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.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19606 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Reported Quality Measures

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…
23%30 patients1/55-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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims32 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims14 services$0.81 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 18

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

DR. JOHN CLAYMON HEISEY JR. M.D.
Internal Medicine
4885 DEMOSS RD, SUITE 200
READING, PA 19606
Berks County (610) 779-0300
SOUTHEASTERN BERKS INTERNAL MEDICINE ASSOCIATES,LTD
Internal Medicine
4885 DEMOSS RD, SUITE 200
READING, PA 19606
Berks County (610) 779-0300
ANGELA D SONON CRNP
Nurse Practitioner (Gerontology)
4885 DEMOSS RD, SUITE 200
READING, PA 19606
Berks County (610) 898-5660
FAMILY MEDICAL SPECIALISTS, PC
Family Medicine
4885 DEMOSS RD, STE 203
READING, PA 19606
Berks County (610) 370-9878
KEYSTONE ORTHOPAEDIC SPECIALISTS
Durable Medical Equipment & Medical Supplies
4885 DEMOSS RD, SUITE 102
READING, PA 19606
Berks County (610) 376-8671
SAMANTHA SNUKIS PA-C
Physician Assistant (Medical)
4885 DEMOSS RD, SUITE 201
READING, PA 19606
Berks County (610) 779-9489
PENN FAMILY MEDICINE
Clinic/Center (Primary Care)
4885 DEMOSS RD, SUITE 203
READING, PA 19606
Berks County (610) 898-9200
DR. BRADLY SCOTT SHOLLENBERGER D.P.M.
Podiatrist
4885 DEMOSS RD, SUITE 103
READING, PA 19606
Berks County (610) 779-4020

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 Erin Roth's NPI number?

The NPI number for Erin Roth is 1689158842. It was assigned to this individual provider in the NPPES registry on September 24, 2018.

Where is Erin Roth located?

Erin Roth practices at 4885 Demoss Rd, Reading, PA 19606. The listed phone number is (610) 898-5660.

What is Erin Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erin Roth enrolled in Medicare?

Yes. Erin 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.

What insurance does Erin Roth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Erin 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.

Is Erin Roth affiliated with any hospitals?

According to CMS data, Erin Roth is affiliated with Reading Hospital, Penn State Health St. Joseph and Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Erin Roth was last updated on September 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.