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DR. MICHAEL STUART ROTH O.D.
NPI 1912954827
Optometrist in Rancho Mirage, CA

Active since May 27, 2006PECOS Enrolled
72057 DINAH SHORE DR, SUITE D, RANCHO MIRAGE, CA 92270(760) 340-3937(760) 340-1940 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Stuart Roth O.d. NPPES

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

DR. MICHAEL STUART ROTH O.D. (NPI 1912954827) is an individual optometrist in Rancho Mirage, California, licensed in California (SOL6058) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912954827
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL STUART ROTHCredential: O.D.
Location Address72057 DINAH SHORE DR, SUITE DRancho Mirage, CA 92270-1791
Mailing Address72057 Dinah Shore Dr, Suite DRancho Mirage, CA 92270-1791 · (760) 340-3937 · Fax (760) 340-1940
Phone(760) 340-3937
Fax(760) 340-1940
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateApril 4, 2013
✔ NPI 1912954827 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 CA · SOL6058
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.
72057 DINAH SHORE DR, Rancho Mirage, CA 92270
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Other Identifiers 4

Medicare UPINT89458NY
Medicare ID-Type Unspecified30687BNY
Other0250890001NY · Dmerc
OtherOVS09NY · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Stuart Roth O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Roth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Girisgen & Kopolow Od PC
171 mi
Optometrist
9460 W FLAMINGO RD STE 100
Las Vegas, NV 89147
  • Reassigned Medicare billing, Nevada enrollment
  • 75 clinicians in this Medicare group
NPI 1063089084 (702) 452-2020
Kopolow & Girisgen Professional Corporation
178 mi
Optometrist
7361 W LAKE MEAD BLVD, STE 104
Las Vegas, NV 89128
  • Reassigned Medicare billing, Nevada enrollment
  • 63 clinicians in this Medicare group
NPI 1518904622 (702) 341-7254
Onesource Senior Healthcare PLLC
258 mi
Podiatrist
16427 N SCOTTSDALE RD STE 410
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Nevada enrollment
  • 7 clinicians in this Medicare group
NPI 1508272188 (888) 495-4489

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92270 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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 8

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

JANET K HARTZLER MD
Ophthalmology
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
WINSTON H ALWES OD
Optometrist
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
KARINE SHAGHOYAN OD
Optometrist
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
MILAUSKAS EYE INSTITUTE MEDICAL GROUP II INC
Ophthalmology
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
DR. ELDAD ADLER M.D
Ophthalmology
72057 DINAH SHORE DR, BLDG. D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
PAUL YOH OD
Optometrist
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
BART KETOVER MD
Ophthalmology
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937
JON EMBERLAND OD
Optometrist
72057 DINAH SHORE DR, SUITE D
RANCHO MIRAGE, CA 92270
Riverside County (760) 340-3937

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 Michael Roth's NPI number?

The NPI number for Michael Roth is 1912954827. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Michael Roth located?

Michael Roth practices at 72057 Dinah Shore Dr Suite D, Rancho Mirage, CA 92270. The listed phone number is (760) 340-3937.

What is Michael Roth's specialty?

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

Is Michael Roth enrolled in Medicare?

Yes. Michael Roth is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Roth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Roth reassigns Medicare benefits to 3 organizations: Girisgen & Kopolow Od PC (Las Vegas, NV), Kopolow & Girisgen Professional Corporation (Las Vegas, NV) and Onesource Senior Healthcare PLLC (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Roth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Roth accept?

Health plans from Ambetter from Arizona Complete Health list Michael 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 Michael Roth was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.