Dr. Charles A Roth , MD
Specialist • Gulf Breeze, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Roth has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Charles Roth, MD was a registered Specialist practicing in Gulf Breeze, FL. Throughout an active medical career spanning 14 years, Dr. Roth provided care at the practice location at 1040 GULF BREEZE PKWY until profile deactivation on 2020-02-28.
Historical Medicare Part B clinical services included established patient outpatient office visit, x-ray of shoulder, minimum of 2 views, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1040 Gulf Breeze Pkwy
Suite 200
Gulf Breeze, FL 325617809
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Gulf Breeze, FL
Practicing in Gulf Breeze, FL (3036 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
68 | 62 | $148.68 | $72.05 |
|
73030
X-ray of shoulder, minimum of 2 views
|
32 | 28 | $20.00 | $11.68 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
31 | 31 | $220.00 | $104.20 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
30 | 29 | $220.00 | $103.31 |
|
20610
Aspiration and/or injection of fluid from large joint
|
29 | 29 | $118.62 | $66.16 |
|
J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
|
28 | 14 | $15.00 | $1.12 |
|
73562
X-ray of knee, 3 views
|
25 | 24 | $20.00 | $11.90 |
|
J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
|
25 | 25 | $15.00 | $6.79 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
17 | 17 | $326.76 | $153.18 |
|
73564
X-ray of knee, 4 or more views
|
16 | 16 | $25.00 | $13.48 |
|
29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
|
16 | 16 | $375.00 | $173.29 |
|
29827
Repair of shoulder rotator cuff using an endoscope
|
14 | 14 | $2200.00 | $1068.87 |
|
29823
Removal of extensive shoulder joint tissue using an endoscope
|
11 | 11 | $1280.00 | $327.23 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Foot and Ankle Surgery
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant
Physician Assistant
Physical Therapist
Physical Therapist
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 28, 2020
NPI status registered as active in NPPES database
Registered at 1040 GULF BREEZE PKWY, SUITE 200, GULF BREEZE, FL 325617809 (Tel: 8509163700)
Registered at PO BOX 30532, PENSACOLA, FL 325031532 (Tel: 8509163700)
Recorded as CHARLES ROTH, M.D.
Specialist (License #ME46571 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 30532
Pensacola, FL 325031532
Phone: 8509163700
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