KELLY ROTH PA-C
NPI 1760939680
Physician Assistant - Surgical in North Franklin, CT
About Kelly Roth Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ROTH PA-C (NPI 1760939680) is an individual surgical provider in North Franklin, Connecticut and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Kelly Roth Pa-c 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cooley Dickinson Hospital Inc,the
Acute Care Hospitals · Northampton, MAMedicare 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Roth's NPI number?
The NPI number for Kelly Roth is 1760939680. It was assigned to this individual provider in the NPPES registry on September 8, 2016.
Where is Kelly Roth located?
Kelly Roth practices at 82 New Park Ave, North Franklin, CT 06254. The listed phone number is (860) 889-7345.
What is Kelly Roth's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Kelly Roth enrolled in Medicare?
Yes. Kelly 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.
Is Kelly Roth affiliated with any hospitals?
According to CMS data, Kelly Roth is affiliated with Cooley Dickinson Hospital Inc,the.
When was this NPI record last updated?
The NPPES record for Kelly Roth was last updated on September 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelly Roth, PA-C · NPI 1760939680
Surgical physician in North Franklin, Connecticut. Individual provider, active in the CMS NPPES registry since September 8, 2016.
## Identity
- **NPI:** 1760939680 (Entity type: Individual)
- **Enumerated:** September 8, 2016
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 82 NEW PARK AVE, North Franklin, CT 06254-1807
- **Phone:** (860) 889-7345
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 8, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1760939680) · Data from the CMS NPPES public registry.