Active NPI 1366557928 Individual Practitioner Male Practitioner

Dr. James B Roth , DO

Surgery • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Dr. James Roth, DO is a registered healthcare professional specializing in Surgery in Clovis, CA. Practice services are available at 2755 HERNDON AVE under active NPI credentials.

Frequently performed procedures and clinical services include removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit, removal of muscle and/or tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2755 Herndon Ave

Clovis, CA 936116800

Telephone 5599355491

Fax 5599355719

Associated Practice Facility / Clinic

🏢 Fresno Community Hospital And Medical Center Facility NPI 1316027709

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clovis, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.5 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

7 Specialists

Practicing in Clovis, CA (3346 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	118	37	$200.00	$61.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	32	$135.00	$134.89
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	40	15	$250.00	$157.53
99213 Established patient office or other outpatient visit, typically 15 minutes	28	21	$110.00	$95.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$250.00	$229.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$248.75	$173.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	182	54	$200.00	$62.66
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	116	31	$355.60	$160.01
99213 Established patient office or other outpatient visit, typically 15 minutes	71	39	$110.00	$77.98
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$286.90	$214.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	19	$135.00	$113.20
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	25	11	$184.00	$27.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$250.00	$169.75
33533 Coronary artery bypass using artery graft, 1 graft	20	20	$700.00	$278.30
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	14	14	$20.00	$2.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	100	39	$200.00	$62.61
33533 Coronary artery bypass using artery graft, 1 graft	98	97	$700.00	$286.61
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	94	94	$20.00	$2.57
33518 Coronary artery bypass using vein or artery graft, 2 grafts	52	52	$400.00	$65.07
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	40	20	$395.00	$155.26
33517 Combined vein and artery heart artery bypass	28	28	$300.00	$29.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$250.00	$167.87
33519 Coronary artery bypass using vein or artery graft, 3 grafts	13	13	$500.00	$86.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
33533 Coronary artery bypass using artery graft, 1 graft	94	94	$677.66	$274.20
33518 Coronary artery bypass using vein or artery graft, 2 grafts	46	46	$280.43	$63.07
33508 Harvest of veins for coronary artery bypass procedure using an endoscope	39	39	$19.10	$2.48
11042 Removal of skin and tissue, 20.0 sq cm or less	32	23	$150.16	$60.75
99183 Management and supervision of oxygen chamber therapy per session	29	17	$439.66	$107.38
33517 Combined vein and artery heart artery bypass	25	25	$204.60	$28.71
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	23	17	$400.00	$149.93
33405 Replacement of aortic valve on heart-lung machine	20	20	$1050.00	$293.15
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$350.00	$165.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$300.00	$126.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	37	20	$145.00	$60.23
33533 Coronary artery bypass using artery graft, 1 graft	16	16	$650.00	$290.99
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	13	12	$400.00	$154.23
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$350.00	$166.04

Medical Specialties & State Licenses

CMS Verified: 2020-02-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA 20A4011

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00AX40110 (CA)

Commercial Insurance / Payer ID Usdl

349152400 (CA)

Commercial Insurance / Payer ID Railroad Medicare

010000314 (CA)

Secondary Practice Locations

550 E Herndon Ave, Suite 105a

Fresno, CA 937202992

Phone: 5594381245

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Ramesh Pamula , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1356382295

Doctor of Medicine (M.D.)

Dr. Sukhjit Chahal , MD

Specialist

NPI 1619080058

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location February 04, 2020

Registered at 2755 HERNDON AVE, CLOVIS, CA 936116800 (Tel: 5599355491)

📍

Updated Business Mailing Address February 04, 2020

Registered at 9722 E SIERRA AVE, CLOVIS, CA 936199013 (Tel: 5599355491)

✅

NPI Profile Active September 30, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2009

Registered at 550 E HERNDON AVE, SUITE 105A, FRESNO, CA 937202992 (Tel: 5594381245)

📍

Updated Business Mailing Address September 30, 2009

Registered at PO BOX 25042, FRESNO, CA 937295042 (Tel: 5594381245)

👤

Provider Name / Credentials Updated September 30, 2009

Recorded as JAMES ROTH, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2009

Surgery (License #20A4011 in CA)

🟢

Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366557928

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 21, 2006

Last Update: February 04, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

9722 E Sierra Ave

Clovis, CA 936199013

Phone: 5599355491

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.