Active NPI 1912921321 Individual Practitioner Male Practitioner

Dr. John Scott Roth , MD

Surgery • Lexington, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Roth, MD is a certified Surgery practicing in Lexington, KY. With approximately 33 years of clinical experience since graduating from Virginia Commonwealth University, School Of Medicine in 1993, Dr. Roth delivers high-quality medical care to the local community at UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY.

Dr. Roth is affiliated with Kentucky Medical Services Foundation, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

University Of Kentucky Department Of Surgery
800 Rose Street, Room C225

Lexington, KY 405360001

Telephone 8593236346

Fax 8593236840

Medicare Profile & Education

Medical School

Virginia Commonwealth University, School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lexington, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +13.0 yrs vs City Avg

City Avg: 20.0 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

73 Specialists

Practicing in Lexington, KY (495 Statewide)

Telehealth Adoption Rate

4.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roth (33 Years) 33 Yrs

Lexington Specialty Average (20.0 Years) 20.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	45	$225.00	$92.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	29	$311.94	$140.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$383.90	$129.18
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	23	23	$5471.01	$1715.79
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$153.00	$64.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$90.00	$34.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$467.00	$179.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1164.00	$130.92

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	56	45	$211.66	$93.66
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$144.36	$60.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$337.15	$124.30
15734 Creation of muscle graft to trunk	26	14	$4128.10	$1097.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$284.40	$137.49
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	15	15	$5473.61	$1601.23
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	12	$912.00	$115.72

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	60	52	$229.98	$89.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$419.59	$127.46
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$158.00	$63.48
15734 Creation of muscle graft to trunk	32	16	$4462.00	$1040.94
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	19	19	$5598.66	$1595.61
49568 Placement of mesh to repair incisional or abdominal hernia	17	17	$1016.00	$244.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$263.00	$80.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$319.47	$132.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1164.00	$111.59

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	56	48	$225.00	$96.46
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$153.00	$65.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$421.88	$131.74
15734 Creation of muscle graft to trunk	28	15	$4462.00	$1032.63
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	28	28	$4679.37	$1461.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$365.75	$158.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$225.00	$118.32
49568 Placement of mesh to repair incisional or abdominal hernia	15	15	$1016.00	$249.53
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$153.00	$85.04
43246 Insertion of stomach tube using a flexible endoscope	11	11	$744.52	$98.12
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$912.00	$118.05

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	66	55	$224.97	$103.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$362.16	$158.32
99213 Established patient office or other outpatient visit, typically 15 minutes	46	37	$153.00	$69.59
15734 Creation of muscle graft to trunk	37	21	$4462.00	$1123.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$240.00	$101.87
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	27	27	$5573.37	$1765.17
49568 Placement of mesh to repair incisional or abdominal hernia	23	23	$1016.00	$261.47
43246 Insertion of stomach tube using a flexible endoscope	17	17	$799.00	$105.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$90.00	$42.92

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	92	68	$223.98	$99.23
15734 Creation of muscle graft to trunk	67	35	$4437.70	$1016.55
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$151.94	$69.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$239.08	$102.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$355.21	$154.25
49568 Placement of mesh to repair incisional or abdominal hernia	37	37	$1010.32	$248.28
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	36	36	$5341.55	$1712.83
43246 Insertion of stomach tube using a flexible endoscope	20	20	$794.20	$87.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$89.56	$42.23
49560 Repair of incisional or abdominal hernia	16	16	$2184.88	$345.79
49565 Repair of incisional or abdominal hernia, recurrent of secondary, not trapped	11	11	$2282.55	$351.64

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	122	97	$221.29	$97.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$346.55	$151.77
99213 Established patient office or other outpatient visit, typically 15 minutes	49	47	$149.65	$68.28
15734 Creation of muscle graft to trunk	47	24	$4377.28	$1092.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$229.64	$99.47
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	38	38	$5264.49	$1682.76
49568 Placement of mesh to repair incisional or abdominal hernia	26	26	$997.54	$260.20
43246 Insertion of stomach tube using a flexible endoscope	21	21	$784.90	$63.41

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	126	89	$217.22	$99.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$341.75	$153.22
15734 Creation of muscle graft to trunk	41	21	$4331.00	$930.90
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$146.46	$66.62
43282 Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope	32	32	$5076.35	$1673.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$230.94	$100.30
49568 Placement of mesh to repair incisional or abdominal hernia	23	23	$986.00	$258.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$85.21	$40.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$293.33	$135.27
43246 Insertion of stomach tube using a flexible endoscope	16	16	$771.25	$67.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$1129.00	$136.05
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$885.00	$114.67

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 30581

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000036068 (DE)

Medicaid State Provider ID

403980700 (MD)

Commercial Insurance / Payer ID Kaiser

240845 (MD)

Commercial Insurance / Payer ID United Hlthcare

1702116 (MD)

Commercial Insurance / Payer ID United Hlthcare National

1801005 (MD)

Commercial Insurance / Payer ID Geisinger

84616 (MD)

Commercial Insurance / Payer ID License

30581 (KY)

Commercial Insurance / Payer ID Blue Shield

62757501 (MD)

Commercial Insurance / Payer ID Carefirst

0090 (MD)

Commercial Insurance / Payer ID Mdipa

2119996 (MD)

Hospital & Practice Group Affiliations

Kentucky Medical Services Foundation, Inc

310 S Limestone St, Lexington, KY 405083008

Phone: 8592267750

Kentucky Medical Services Foundation, Inc

100 Greatstone Pt, Lexington, KY 405043274

Phone: 8592579800

Kentucky Medical Services Foundation, Inc

310 S Limestone, Lexington, KY 405083008

Phone: 8592267006

Kentucky Medical Services Foundation, Inc

2400 Greatstone Pt, Lexington, KY 405043274

Phone: 8593237426

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Melissa Newcomb , MD

Surgery

NPI 1013157338

Doctor of Medicine (M.D.)

Dr. Samuel Tyagi , MD

Surgery - Vascular Surgery

NPI 1053638734

Doctor of Medicine (M.D.)

Dr. Veronica Jones , MD

Surgery - Surgical Oncology

NPI 1063874162

Doctor of Medicine (M.D.)

Dr. Brian Tucker , DO

Surgery - Surgical Critical Care

NPI 1124289996

Doctor of Osteopathic Medicine (D.O.)

Dr. Leah Winer , MD

Surgery - Surgical Oncology

NPI 1124415922

Doctor of Medicine (M.D.)

Dr. Joseph Bobadilla , MD

Surgery

NPI 1245288893

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 16, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2014

Registered at UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY, 800 ROSE STREET, ROOM C225, LEXINGTON, KY 405360001 (Tel: 8593236346)

📍

Updated Business Mailing Address May 16, 2014

Registered at UNIVERSITY OF KENTUCKY DEPARTMENT OF SURGERY, 800 ROSE STREET, ROOM C225, LEXINGTON, KY 405360001 (Tel: 8593236346)

👤

Provider Name / Credentials Updated May 16, 2014

Recorded as JOHN ROTH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2014

Surgery (License #30581 in KY)

🟢

Initial NPI Registration & Enumeration July 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: 1912921321

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: May 16, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

University Of Kentucky Department Of Surgery, 800 Rose Street, Room C225

Lexington, KY 405360001

Phone: 8593236346

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.