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DR. NICOLE MEGAN ROTH DPM
NPI 1770879413
Podiatrist in Boulder, CO

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment
1400 28TH ST STE 2, BOULDER, CO 80303(303) 449-2000(303) 449-9475 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2019, Jan 9, 2019 (2 updates tracked since 2019).

About Dr. Nicole Megan Roth Dpm NPPES

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

DR. NICOLE MEGAN ROTH DPM (NPI 1770879413) is an individual podiatrist in Boulder, Colorado, licensed in Colorado (POD.0000829) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (2011).

NPPES Registry Identity

NPI1770879413
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. NICOLE MEGAN ROTHCredential: DPM
Location Address1400 28TH ST STE 2Boulder, CO 80303-1096
Mailing AddressPo Box 21150Boulder, CO 80308-4150 · (303) 546-9158 · Fax (303) 546-9107
Phone(303) 449-2000
Fax(303) 449-9475
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2011
Enumeration DateJune 21, 2011
Last NPPES UpdateJanuary 14, 20192 updates tracked since enumeration
✔ NPI 1770879413 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 CO · POD.0000829
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.
1400 28TH ST STE 2, Boulder, CO 80303
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Other Identifiers 4

OtherPO 3661FL · Podiatric Medical License
Medicaid9000168464CO
OtherPR235FL · Podiatric Resident
OtherPOD.0000829CO · License

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

Dr. Nicole Megan Roth 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 ID7416178983
PECOS Enrollment IDI20190129001504
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 6

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.
149 services85 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
113 services68 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.
84 services58 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
17 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES 3

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

BRIAN P GRADISEK DPM PLLC
Podiatrist (Foot & Ankle Surgery)
1400 28TH ST STE 2
BOULDER, CO 80303
Boulder County (303) 449-2000
FOOT AND ANKLE CARE OF BOULDER COUNTY
Podiatrist (Foot & Ankle Surgery)
1400 28TH ST STE 2
BOULDER, CO 80303
Boulder County (303) 449-2000
DR. BRIAN P GRADISEK D.P.M.
Podiatrist
1400 28TH ST STE 2
BOULDER, CO 80303
Boulder County (303) 449-2000

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 Nicole Roth's NPI number?

The NPI number for Nicole Roth is 1770879413. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Nicole Roth located?

Nicole Roth practices at 1400 28th St Ste 2, Boulder, CO 80303. The listed phone number is (303) 449-2000.

What is Nicole Roth's specialty?

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

Is Nicole Roth enrolled in Medicare?

Yes. Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Roth was last updated on January 14, 2019. 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.