Active NPI 1205873924 Individual Practitioner Male Practitioner

Dr. Douglas A Roth , MD

Plastic Surgery • Mount Kisco, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Roth, MD is a certified Plastic Surgery practicing in Mount Kisco, NY. With approximately 36 years of clinical experience since graduating from New York University School Of Medicine in 1990, Dr. Roth delivers high-quality medical care to the local community at 90 S BEDFORD RD.

Dr. Roth is affiliated with North Shore-Lij Medical Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

90 S Bedford Rd
Mount Kisco Medical Group, Pc

Mount Kisco, NY 105493412

Telephone 9142411050

Fax 9142422909

Associated Practice Facility / Clinic

🏢 Mount Kisco Medical Group Pc Facility NPI 1740315217

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Mount Kisco, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs Matches City Avg

City Avg: 36.0 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

1 Specialists

Practicing in Mount Kisco, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roth (36 Years) 36 Yrs

Mount Kisco Specialty Average (36.0 Years) 36.0 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
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$132.17	$82.55
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$357.31	$98.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$513.29	$125.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	105	105	$92.69	$82.86
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$113.81	$105.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$143.18	$129.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	16	$1.09	$1.07
11900 Injection into skin growth, 1-7 growths	22	16	$69.71	$68.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$67.53	$66.50
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	20	20	$501.09	$311.20
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	16	$1351.21	$988.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$372.42	$283.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$89.48	$88.87
11102 Tangential biopsy of single skin lesion	16	14	$157.97	$123.13
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$109.74	$108.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$74.91	$68.96
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	15	15	$329.84	$326.50
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	13	$1039.53	$1028.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	11	11	$819.90	$776.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$93.04	$88.19
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$110.22	$110.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	11	$1.28	$1.28
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	22	22	$503.58	$331.63
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	17	$1327.69	$1037.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$136.98	$136.98
11900 Injection into skin growth, 1-7 growths	15	11	$69.78	$69.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$155.82	$155.82
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$816.01	$782.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	38	37	$509.85	$332.48
99213 Established patient office or other outpatient visit, typically 15 minutes	35	27	$89.16	$88.85
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$102.52	$89.30
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	18	18	$500.22	$498.00
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$1062.52	$763.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$143.98	$122.55
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$1438.14	$1035.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	48	$92.13	$86.23
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$93.56	$88.16
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	30	29	$440.81	$322.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$127.42	$125.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	11	$53.68	$52.90
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	13	12	$1059.18	$1043.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	95	95	$92.20	$87.51
99213 Established patient office or other outpatient visit, typically 15 minutes	78	61	$87.51	$84.26
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	25	24	$329.35	$324.08
11100 Biopsy of single growth of skin and/or tissue	24	20	$129.09	$124.51
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	17	17	$551.54	$452.22
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	16	15	$1061.49	$1044.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$126.42	$124.40
15823 Removal of excessive skin and fat of upper eyelid	12	12	$1251.47	$936.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	90	90	$93.43	$86.26
99213 Established patient office or other outpatient visit, typically 15 minutes	62	45	$86.01	$84.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$125.98	$123.96
11100 Biopsy of single growth of skin and/or tissue	18	15	$146.53	$117.12
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	17	16	$332.26	$326.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$51.87	$51.04
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	11	$1064.80	$1047.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$129.06	$127.07
13151 Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm	12	12	$597.23	$470.07
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	11	11	$472.10	$464.55

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 186557

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01921351 (NY)

Hospital & Practice Group Affiliations

North Shore-Lij Medical Pc

100 E 77th St, New York, NY 100751850

Phone: 2124342140

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kimberly Chu , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003828757

Doctor of Medicine (M.D.)

Dr. Paul Kandel , MD

Internal Medicine

NPI 1013960194

Doctor of Medicine (M.D.)

Dr. Eugene Tolunsky , MD

Psychiatry & Neurology - Neurology

NPI 1023057783

Doctor of Medicine (M.D.)

Dr. Albert Szabo , MD

Psychiatry & Neurology - Neurology

NPI 1023058666

Doctor of Medicine (M.D.)

Jaclyn Sylvia , PA-C

Physician Assistant

NPI 1023294287

Physician Assistant (Certified)

Dr. William Zurhellen , MD

Pediatrics

NPI 1043218571

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 July 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 22, 2016

Registered at 90 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 105493412 (Tel: 9142411050)

📍

Updated Business Mailing Address July 22, 2016

Registered at 110 S BEDFORD RD, MOUNT KISCO MEDICAL GROUP, PC, MOUNT KISCO, NY 105493446 (Tel: 9142411050)

👤

Provider Name / Credentials Updated July 22, 2016

Recorded as DOUGLAS ROTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2016

Plastic Surgery (License #186557 in NY)

🟢

Initial NPI Registration & Enumeration June 01, 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: 1205873924

Entity Type:

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

Enumeration Date: June 01, 2006

Last Update: July 22, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

110 S Bedford Rd, Mount Kisco Medical Group, Pc

Mount Kisco, NY 105493446

Phone: 9142411050

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.