HEATHER RENAE ROTH APRN
NPI 1821542747
Nurse Practitioner - Family in Ashland, KY

Q: What is Heather Roth's NPI number?

The NPI number for Heather Roth is 1821542747. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Q: What is Heather Roth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Roth was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 09, 2016PECOS EnrolledAccepts Medicare Assignment

82.94/100

CMS Quality Rating

613 23RD ST STE 230, ASHLAND, KY 41101(606) 324-4745(606) 324-4941 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2022, Oct 18, 2018, Aug 9, 2016 (3 updates tracked since 2016).

On this page

About Heather Renae Roth Aprn NPPES

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

HEATHER RENAE ROTH APRN (NPI 1821542747) is an individual family provider in Ashland, Kentucky, licensed in Kentucky (3010367) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1821542747

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER RENAE ROTHCredential: APRN

Location Address613 23RD ST STE 230Ashland, KY 41101-2868

Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612

Phone(606) 324-4745

Fax(606) 324-4941

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 9, 2016

Last NPPES UpdateMarch 3, 20223 updates tracked since enumeration

NPPES CertifiedMarch 3, 2022

✔ NPI 1821542747 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 KY · 3010367

613 23RD ST STE 230, Ashland, KY 41101

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Secondary Practice Location 1

Location 11729 Kinneys Ln Ste 202Portsmouth, OH 45662-3167 · Phone (740) 353-8100 · Fax (740) 353-8100

Other Identifiers 2

Medicaid0180569OH

Medicaid7100435030KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Heather Renae Roth Aprn 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 ID3870713993

PECOS Enrollment IDI20160901001388, I20161031000797

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.

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.

156 services111 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.

143 services91 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.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360361

Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

82.94/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.01

Promoting Interoperability

100

Improvement Activities

Cost

65.57

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$109.33 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 20

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

LISA ELLEN SPENCER APRN

Nurse Practitioner (Gerontology)