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

Active since November 09, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 01D0874024 · Waiver
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: July 26, 2026.

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, holds a CLIA Waiver certificate valid through March 13, 2027, 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
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

Other Identifiers 6

Other0004036975Aetna
Other51085204AL · Blue Cross Blue Shield
Other080055438Railroad Medicare
Medicare PIN000085204AL
Medicaid000085204AL
Medicare UPINC72761

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

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.

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 01D0874024

Philip A Roth Jr MD PC · Huntsville, AL
Active · expires Mar 13, 2027
CLIA Number01D0874024
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorPhilip A. Roth
Laboratory Phone(256) 533-3966
Laboratory LocationPhilip A Roth Jr MD PC2089 Cecil Ashburn Dr Suite 101, Huntsville, AL 35802
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 13

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.
3,120 services31 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
315 services215 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
216 services215 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
212 services120 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.
199 services199 patients
Annual depression screening, 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.
198 services198 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
Quality89.27
Promoting Interoperability100
Improvement Activities40

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.

Family Medicine
2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802
Physical Therapist
2089 CECIL ASHBURN DR SE, SUITE 202
HUNTSVILLE, AL 35802
Family Medicine
2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802
Family Medicine
2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802
Family Medicine
2089 CECIL ASHBURN DR SE, SUITE 101
HUNTSVILLE, AL 35802
Clinic/Center (Physical Therapy)
2089 CECIL ASHBURN DR SE, STE 202
HUNTSVILLE, AL 35802
Physical Therapist
2089 CECIL ASHBURN DR SE, SUITE 202
HUNTSVILLE, AL 35802

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.

Does Philip Roth hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D0874024) is associated with this NPI, valid through March 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.