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Active NPI 1649620352 Individual Practitioner Male Practitioner

Benjamin Jacob Roth , PA-C

Physician Assistant • Oak Park, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Benjamin Roth, PA-C is a certified Physician Assistant practicing in Oak Park, IL. With approximately 10 years of clinical experience since completing medical education in 2016, Benjamin Roth delivers high-quality medical care to the local community at 3 ERIE CT.

Benjamin Roth is affiliated with Rockford Psychiatric Medical Services Sc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Erie Ct

Oak Park, IL 603022519

Telephone 7087636747
Associated Practice Facility / Clinic
🏢 Professional Anesthesia, S.c. Facility NPI 1174572218

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oak Park, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +3.6 yrs vs City Avg
City Avg: 6.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
31 Specialists

Practicing in Oak Park, IL (4958 Statewide)

Telehealth Adoption Rate
19.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
90.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roth (10 Years) 10 Yrs
Oak Park Specialty Average (6.4 Years) 6.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
58 56 $1578.28 $149.95
99284 Emergency department visit with moderate level of medical decision making
42 42 $1132.14 $96.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
30 30 $70.73 $6.91

Medical Specialties & State Licenses

CMS Verified: 2024-08-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.005905

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Rockford Psychiatric Medical Services Sc

1639 N Alpine Rd, Rockford, IL 611071481

Phone: 8153951500

Rockford Psychiatric Medical Services Sc

6319 Fairview Ave, Westmont, IL 605592889

Phone: 6305662096

Rockford Psychiatric Medical Services Sc

311 S County Farm Rd, Wheaton, IL 601872477

Phone: 6305179233

Practice Associates & Co-Workers

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

8 Associated Practitioners
Travis Tirpak , APN-CNP

Nurse Practitioner

NPI 1013323690

APNCNP

Katlyn Poupore , RN

Nurse Practitioner

NPI 1154676625

Registered Nurse

Nicole Schnoes , NP

Nurse Practitioner - Family

NPI 1174978696

Nurse Practitioner

Dr. Andrew Williams , MD

Emergency Medicine

NPI 1275988156

Doctor of Medicine (M.D.)

Dr. Anthony Nuval , MD

Emergency Medicine

NPI 1508251109

Doctor of Medicine (M.D.)

Dr. Paula Green , MD

Emergency Medicine

NPI 1609876077

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated August 28, 2024

Recorded as BENJAMIN ROTH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Physician Assistant (License #085.005905 in IL)

NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 14, 2016

Registered at 3 ERIE CT, OAK PARK, IL 603022519 (Tel: 7087636747)

📍
Updated Business Mailing Address June 14, 2016

Registered at 2000 GREEN RD, STE 300, ANN ARBOR, MI 481051598

👤
Provider Name / Credentials Updated June 14, 2016

Recorded as BENJAMIN ROTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 14, 2016

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: 1649620352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2016
Last Update: August 28, 2024
Sole Proprietor: Yes

Mailing Address

2000 Green Rd, Ste 300

Ann Arbor, MI 481051598

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.