Active NPI 1679609630 Individual Practitioner Female Practitioner

Carolyn Roth , NP

Nurse Practitioner • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Carolyn Roth, NP is a registered healthcare professional specializing in Nurse Practitioner in Bloomington, IL. Practice services are available at 1701 E COLLEGE AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 E College Ave

Bloomington, IL 617042101

Telephone 3096643038

Associated Practice Facility / Clinic

🏢 St Joseph Medical Center Facility NPI 1851330203

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bloomington, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.2 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

45 Specialists

Practicing in Bloomington, IL (4929 Statewide)

Telehealth Adoption Rate

24.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$223.89	$93.12
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$225.00	$75.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$217.67	$89.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$309.33	$133.10
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$219.21	$72.66
81003 Automated urinalysis test	30	29	$12.67	$2.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	15	$25.97	$16.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$314.40	$102.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	14	$148.57	$18.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	73	72	$80.00	$35.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$232.72	$94.50
99213 Established patient office or other outpatient visit, typically 15 minutes	48	48	$224.25	$75.68
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$218.48	$59.78
81003 Automated urinalysis test	16	16	$26.88	$2.25
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	$140.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	48	48	$76.67	$33.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$240.47	$91.46
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$205.00	$65.29
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$172.53	$62.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	85	84	$152.41	$60.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	69	$149.75	$60.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$217.73	$89.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$210.00	$89.17

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209000155

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Group Ptan

IL2613 (IL)

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Leslie Mathers , MD

Preventive Medicine - Occupational Medicine

NPI 1487675161

Doctor of Medicine (M.D.)

Dr. Todd Snoeyink , DPM

Podiatrist

NPI 1811097033

Doctor of Podiatric Medicine

Douglas West , ATC

Specialist/Technologist - Athletic Trainer

NPI 1821396722

Certified Athletic Trainer

Alicia High , PA-C

Physician Assistant

NPI 1831269224

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 20, 2009

Registered at 1701 E COLLEGE AVE, BLOOMINGTON, IL 617042101 (Tel: 3096643038)

📍

Updated Business Mailing Address November 20, 2009

Registered at 1701 E COLLEGE AVE, BLOOMINGTON, IL 617042101 (Tel: 3096643000)

👤

Provider Name / Credentials Updated November 20, 2009

Recorded as CAROLYN ROTH, N.P.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2009

Nurse Practitioner (License #209000155 in IL)

🟢

Initial NPI Registration & Enumeration February 26, 2007

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: 1679609630

Entity Type:

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

Enumeration Date: February 26, 2007

Last Update: November 20, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1701 E College Ave

Bloomington, IL 617042101

Phone: 3096643000

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.