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MATTHEW DAVID ROTH MSN FNP-BC
NPI 1811580442
Nurse Practitioner - Family in Ortonville, MI

Active since February 15, 2021PECOS EnrolledAccepts Medicare Assignment
540 DOUGLASTON DR, ORTONVILLE, MI 48462(248) 390-7392 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 13, 2024, Feb 15, 2021 (2 updates tracked since 2021).

About Matthew David Roth Msn Fnp-bc NPPES

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

MATTHEW DAVID ROTH MSN FNP-BC (NPI 1811580442) is an individual family provider in Ortonville, Michigan, licensed in Michigan (4704293971) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Hurley Medical Center, and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1811580442
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMATTHEW DAVID ROTHCredential: MSN FNP-BC
Location Address540 DOUGLASTON DROrtonville, MI 48462-8525
Mailing Address540 Douglaston DrOrtonville, MI 48462-8525 · (248) 390-7392
Phone(248) 390-7392
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020
Enumeration DateFebruary 15, 2021
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1811580442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704293971
540 DOUGLASTON DR, Ortonville, MI 48462
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Hurley Plz # 4EFlint, MI 48503-5902 · Phone (810) 262-9020 · Fax (810) 262-6413

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Matthew David Roth Msn Fnp-bc 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 ID5890143002
PECOS Enrollment IDI20231129001224
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
20 services11 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services11 patients

Hospital Affiliations CMS Care Compare

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

Hurley Medical Center

Acute Care Hospitals · Flint, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230132
LocationOne Hurley PlazaFlint, MI 48503 · Genesee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48462 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Matthew Roth's NPI number?

The NPI number for Matthew Roth is 1811580442. It was assigned to this individual provider in the NPPES registry on February 15, 2021.

Where is Matthew Roth located?

Matthew Roth practices at 540 Douglaston Dr, Ortonville, MI 48462. The listed phone number is (248) 390-7392.

What is Matthew Roth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Matthew Roth enrolled in Medicare?

Yes. Matthew 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 Matthew Roth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Matthew 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 Matthew Roth affiliated with any hospitals?

According to CMS data, Matthew Roth is affiliated with Hurley Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Roth was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.