Deactivated NPI 1376543496 Deactivated / Inactive NPI Female Practitioner

Jennifer Ellen Roth , PA-C

Physician Assistant • Gettysburg, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jennifer Roth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2005

NPI Deactivation Date September 13, 2021

Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Jennifer Roth, PA-C was a registered Physician Assistant practicing in Gettysburg, PA. Throughout an active medical career spanning 16 years, Jennifer Roth provided care at the practice location at 524 S WASHINGTON ST until profile deactivation on 2021-09-13.

Historical Medicare Part B clinical services included established patient outpatient office visit, automated urinalysis test, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

524 S Washington St

Gettysburg, PA 173252594

Telephone 7173342183

Fax 7173344170

Associated Practice Facility / Clinic

🏢 Gettysburg Family Practice Inc Facility NPI 1194727180

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gettysburg, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.5 Yrs

Regional Practice Density

15 Specialists

Practicing in Gettysburg, PA (8068 Statewide)

Telehealth Adoption Rate

20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.6% 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 (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$169.00	$76.69

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	72	72	$236.00	$90.41
99213 Established patient office or other outpatient visit, typically 15 minutes	44	44	$169.00	$62.20
81003 Automated urinalysis test	22	22	$6.00	$2.15

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	109	107	$220.16	$90.03
99213 Established patient office or other outpatient visit, typically 15 minutes	87	85	$148.74	$61.84
81003 Automated urinalysis test	30	29	$5.07	$2.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	191	167	$86.16	$60.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	109	$133.44	$89.15
81003 Automated urinalysis test	47	41	$6.96	$2.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$138.00	$96.08
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$44.00	$16.22
G0008 Administration of influenza virus vaccine	25	25	$29.00	$19.57
90682 Influenza vaccine, quadrivalent derived from recombinant dna	23	23	$57.00	$52.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$62.00	$36.11
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	17	$22.00	$16.20
87081 Screening test for pathogenic organisms	16	16	$14.00	$8.02
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	14	14	$70.00	$31.32
36415 Insertion of needle into vein for collection of blood sample	13	12	$6.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	271	219	$83.87	$58.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	130	110	$123.00	$86.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	108	59	$104.28	$74.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	88	88	$137.48	$92.83
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	80	49	$79.00	$56.17
81003 Automated urinalysis test	51	42	$7.00	$3.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	42	$62.00	$34.83
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$44.00	$14.79
G0008 Administration of influenza virus vaccine	37	37	$29.00	$24.05
90662 Influenza vaccine split virus, preservative free	35	35	$51.00	$48.05
99315 Nursing facility discharge day management, 30 minutes or less	31	27	$84.94	$59.61
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	26	26	$70.00	$30.79
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	19	$22.00	$14.79
69210 Removal of impacted ear wax	15	13	$62.00	$39.55

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA-002036L

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners

Tracey Long , CRNP

Nurse Practitioner - Family

NPI 1013545656

Certified Registered Nurse Practitioner

Dr. Douglas Eyer , MD

Emergency Medicine

NPI 1194726653

Doctor of Medicine (M.D.)

Kristi Allen , CRNP

Nurse Practitioner - Family

NPI 1265948558

Certified Registered Nurse Practitioner

Dr. Paul Quesenberry , MD

Family Medicine

NPI 1326043761

Doctor of Medicine (M.D.)

Dr. Louisa Rahner , DO

Family Medicine

NPI 1629561535

Doctor of Osteopathic Medicine (D.O.)

Dr. William Adair , MD

Family Medicine

NPI 1750407854

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

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NPI Profile Deactivated September 13, 2021

Record deactivated on September 13, 2021

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Updated Practice Location April 09, 2021

Registered at 2030 THISTLE HILL DR, SPRING GROVE, PA 173621159 (Tel: 7172259869)

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Updated Business Mailing Address April 09, 2021

Registered at 2030 THISTLE HILL DR, SPRING GROVE, PA 173621159

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NPI Profile Active October 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2010

Registered at 524 S WASHINGTON ST, GETTYSBURG, PA 173252594 (Tel: 7173342183)

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Updated Business Mailing Address October 29, 2010

Registered at 524 S WASHINGTON ST, GETTYSBURG, PA 173252594 (Tel: 7173342183)

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Provider Name / Credentials Updated October 29, 2010

Recorded as JENNIFER ROTH, P.A.-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2010

Physician Assistant (License #MA-002036L in PA)

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Initial NPI Registration & Enumeration July 29, 2005

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: 1376543496

Entity Type:

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

Enumeration Date: July 29, 2005

Last Update: October 29, 2010

Deactivation Date: September 13, 2021

Update or Correct Profile

Mailing Address

524 S Washington St

Gettysburg, PA 173252594

Phone: 7173342183

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.