DR. ZACHARY D ROTH O.D.
NPI 1821347402
Optometrist in Fort Wayne, IN

Active since August 29, 2012PECOS EnrolledAccepts Medicare Assignment
98.12/100
CMS Quality Rating
3301 LAKE AVE, FORT WAYNE, IN 46805(260) 422-3937(260) 424-6900 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Zachary D Roth O.d. NPPES

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

DR. ZACHARY D ROTH O.D. (NPI 1821347402) is an individual optometrist in Fort Wayne, Indiana, licensed in Indiana (18003761A) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2012).

NPPES Registry Identity

NPI1821347402
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ZACHARY D ROTHCredential: O.D.
Location Address3301 LAKE AVEFort Wayne, IN 46805-5529
Mailing Address3301 Lake AveFort Wayne, IN 46805-5529 · (260) 422-3937 · Fax (260) 424-6900
Fax(260) 424-6900
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2012
Enumeration DateAugust 29, 2012
Last NPPES UpdateMarch 2, 2016
NPI 1821347402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18003761A
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3301 LAKE AVE, Fort Wayne, IN 46805

Other Identifiers 3

Medicare PIN137440AIN
Medicaid201197920IN
Medicare PIN136210IN

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

Dr. Zachary D Roth O.d. 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 ID3779719935
PECOS Enrollment IDI20131115001592
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 9

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
496 services491 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
209 services193 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.
117 services101 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
105 services102 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
99 services96 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.
75 services71 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46805 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

98.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost93.74

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers27 claims27 services$58.81 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers28 claims49 services$40.93 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 6

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

Ophthalmology
3301 LAKE AVE
FORT WAYNE, IN 46805
Ophthalmology
3301 LAKE AVE
FORT WAYNE, IN 46805
Ophthalmology
3301 LAKE AVE
FORT WAYNE, IN 46805
Ophthalmology
3301 LAKE AVE
FORT WAYNE, IN 46805
Eyewear Supplier
3301 LAKE AVE
FORT WAYNE, IN 46805
Optometrist
3301 LAKE AVE
FORT WAYNE, IN 46805

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 Zachary Roth's NPI number?

The NPI number for Zachary Roth is 1821347402. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Zachary Roth located?

Zachary Roth practices at 3301 Lake Ave, Fort Wayne, IN 46805. The listed phone number is (260) 422-3937.

What is Zachary Roth's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Zachary Roth enrolled in Medicare?

Yes. Zachary 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 Zachary Roth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Zachary 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 Zachary Roth was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.