Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992732648 Individual Practitioner Male Practitioner

Dr. Gary F Roth , MD

Emergency Medicine • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Gary Roth, MD is a registered healthcare professional specializing in Emergency Medicine in Bloomington, IL. Practice services are available at 2200 E WASHINGTON ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 E Washington St

Bloomington, IL 617014364

Telephone 3096615111
Associated Practice Facility / Clinic
🏢 Bestpractices Of Illinois Pc Facility NPI 1760439517

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Bloomington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 24.6 Yrs
Regional Practice Density
16 Specialists

Practicing in Bloomington, IL (3389 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.7% 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 (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
11 11 $1073.00 $175.12

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License IL 036052934

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036052934 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Krista Bajjalieh , OTR, L

Occupational Therapist

NPI 1013265040

Occupational Therapist Registered, L

Dr. Crystal Lamont , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013726363

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Richard Sabbun , MD

Emergency Medicine - Emergency Medical Services

NPI 1023045606

Doctor of Medicine (M.D.)

Bailey Wilson

Occupational Therapist

NPI 1063040004
NPI 1073632527

Registered Pharmacist

NPI 1073738217

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 18, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2009

Registered at 2200 E WASHINGTON ST, BLOOMINGTON, IL 617014364 (Tel: 3096615111)

📍
Updated Business Mailing Address September 18, 2009

Registered at 2538 MOMENTUM PL, CHICAGO, IL 606890001

👤
Provider Name / Credentials Updated September 18, 2009

Recorded as GARY ROTH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2009

Emergency Medicine (License #036052934 in IL)

🟢
Initial NPI Registration & Enumeration June 27, 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: 1992732648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 27, 2006
Last Update: September 18, 2009
Sole Proprietor: Yes

Mailing Address

2538 Momentum Pl

Chicago, IL 606890001

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.