Active NPI 1013071075 Individual Practitioner Male Practitioner

Dr. James Gerard Roth , OD

Optometrist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. James Roth, OD is a registered healthcare professional specializing in Optometrist in Chicago, IL. Practice services are available at 6857 S PULASKI RD under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

6857 S Pulaski Rd

Chicago, IL 606294151

Telephone 7737675000

Fax 7737675176

Associated Practice Facility / Clinic

🏢 Insight Health Corp Facility NPI 1679522643

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Chicago, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 15.6 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

633 Specialists

Practicing in Chicago, IL (2783 Statewide)

Telehealth Adoption Rate

0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

11.6% 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 (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$109.77	$97.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$130.82	$129.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$129.00	$116.13
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$99.00	$80.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	23	21	$98.13	$78.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$129.00	$114.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$100.36	$72.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$129.00	$106.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$106.50	$72.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$129.00	$105.92

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046008029

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

046008029 (IL)

Commercial Insurance / Payer ID Bcbs Of Il

08127171 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Natalie Roth Crain , OD

Optometrist

NPI 1821735218

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2008

Registered at 6857 S PULASKI RD, CHICAGO, IL 606294151 (Tel: 7737675000)

📍

Updated Business Mailing Address October 09, 2008

Registered at 6857 S PULASKI RD, CHICAGO, IL 606294151 (Tel: 7737675000)

👤

Provider Name / Credentials Updated October 09, 2008

Recorded as JAMES ROTH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2008

Optometrist (License #046008029 in IL)

🟢

Initial NPI Registration & Enumeration December 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: 1013071075

Entity Type:

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

Enumeration Date: December 21, 2006

Last Update: October 09, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6857 S Pulaski Rd

Chicago, IL 606294151

Phone: 7737675000

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.