PHILIP ANTHONY ROTH MD
NPI 1710968383
Family Medicine in Huntsville, AL

Q: What is Philip Roth's NPI number?

The NPI number for Philip Roth is 1710968383. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Philip Roth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Roth was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 November 09, 2005PECOS EnrolledAccepts Medicare Assignment

94.63/100

CMS Quality Rating

2089 CECIL ASHBURN DR SE, SUITE 101, HUNTSVILLE, AL 35802(256) 533-3966(256) 882-9757 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Philip Anthony Roth Md NPPES

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

PHILIP ANTHONY ROTH MD (NPI 1710968383) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (12141) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (1984).

NPPES Registry Identity

NPI1710968383

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePHILIP ANTHONY ROTHCredential: MD

Location Address2089 CECIL ASHBURN DR SE, SUITE 101Huntsville, AL 35802-2567

Mailing Address420 Lowell Dr Se, Suite 103Huntsville, AL 35801-3754 · (256) 535-5940 · Fax (256) 882-9757

Phone(256) 533-3966

Fax(256) 882-9757

Sole ProprietorYes

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1984

Enumeration DateNovember 9, 2005

Last NPPES UpdateAugust 21, 2012

✔ NPI 1710968383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AL · 12141

Definition

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.

2089 CECIL ASHBURN DR SE, Huntsville, AL 35802

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Other Identifiers 6

Other0004036975Aetna

Other51085204AL · Blue Cross Blue Shield

Other080055438Railroad Medicare

Medicare PIN000085204AL

Medicaid000085204AL

Medicare UPINC72761

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Philip Anthony Roth Md 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 ID5890811061

PECOS Enrollment IDI20100924000606

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 12

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.

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

4,200 services38 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.

511 services234 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

217 services217 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.

202 services202 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

200 services200 patients

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous G0328

A fecal occult blood test is a screening tool for colorectal cancer. It checks for tiny amounts of blood in your stool that can't be seen with the naked eye. The immunoassay method can test 1-3 samples at once. This helps detect cancer early, when treatment is most effective.

142 services142 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

125 services49 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.

123 services83 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

102 services100 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.

101 services99 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

33 services28 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.

17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35802 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

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

94.63/100

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

Scored through an Alternative Payment Model

Quality

89.27

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

99%338 patients4/55-star benchmark: 100%

Breast Cancer Screening

96%126 patients5/55-star benchmark: 93%

Closing the Referral Loop: Receipt of Specialist Report

47%182 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

92%298 patients5/55-star benchmark: 88%

Controlling High Blood Pressure

73%327 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

37%67 patients2/55-star benchmark: 100%

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

Lower rates are better for this measure.

4%67 patients5/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,782 patients4/55-star benchmark: 100%

e-Prescribing

96%2,474 patients3/55-star benchmark: 100%

HIV Screening

2%242 patients1/55-star benchmark: 60%

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

30%325 patients2/55-star benchmark: 61%

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

Patients screened: 91% · 503 patients

91%503 patients

Provide Patients Electronic Access to Their Health Information

81%411 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%343 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 9% · 320 patients

Patients totalRate: 29% · 346 patients

26%346 patients2/55-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

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

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers18 claims18 services$28.19 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 7

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

RANDLE T. MIDDLETON MD, P.C

Family Medicine

2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802

Madison County (256) 882-7351

PHILIP A. ROTH, JR., MD/PC

Family Medicine

2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802

Madison County (256) 533-3966

AUSTIN PHYSICAL THERAPY

Clinic/Center (Physical Therapy)

2089 CECIL ASHBURN DR SE, STE 202
HUNTSVILLE, AL 35802

Madison County (256) 883-9494

AUSTIN PHYSICAL THERAPY LLC

Physical Therapist

2089 CECIL ASHBURN DR SE, SUITE 202
HUNTSVILLE, AL 35802

Madison County (256) 883-9494

MELANIE P SCALFANO P. T.

Physical Therapist

2089 CECIL ASHBURN DR SE, SUITE 202
HUNTSVILLE, AL 35802

Madison County (256) 883-9494

GREATER HUNTSVILLE FAMILY PRACTICE

Family Medicine

2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802

Madison County (256) 882-6487

NANCY U. NEIGHBORS

Family Medicine

2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802

Madison County (256) 882-6085

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 Philip Roth's NPI number?

The NPI number for Philip Roth is 1710968383. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Philip Roth located?

Philip Roth practices at 2089 Cecil Ashburn Dr SE Suite 101, Huntsville, AL 35802. The listed phone number is (256) 533-3966.

What is Philip Roth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Philip Roth enrolled in Medicare?

Yes. Philip 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 Philip Roth accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Philip 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 Philip Roth was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.