Active NPI 1144210279 Individual Practitioner Male Practitioner

Dr. Mark D Roth , MD

Surgery • Waynesboro, PA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Roth, MD is a registered healthcare professional specializing in Surgery in Waynesboro, PA. Practice services are available at 45 ROADSIDE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

45 Roadside Ave

Waynesboro, PA 172682542

Telephone 7177627155

Fax 7177626929

Associated Practice Facility / Clinic

🏢 Centers For Advanced Orthopaedics, Llc Facility NPI 1023442977

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waynesboro, PA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 31.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

7 Specialists

Practicing in Waynesboro, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.7% 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 (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	64	$224.00	$54.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	43	$136.00	$32.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	36	$124.00	$39.22
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	46	$614.00	$197.17
11042 Removal of skin and tissue, 20.0 sq cm or less	40	19	$354.00	$51.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$334.00	$101.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$509.00	$150.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$333.00	$99.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$418.00	$136.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	91	$224.00	$51.72
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	44	$124.00	$37.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	61	$136.00	$29.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	39	$334.00	$97.79
97597 Removal of tissue from wound, 20.0 sq cm or less	33	13	$220.00	$22.82
11042 Removal of skin and tissue, 20.0 sq cm or less	33	15	$354.00	$49.32
17250 Application of chemical to stop tissue regrowth in wound	32	12	$259.00	$45.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$614.00	$187.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$509.00	$153.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$333.00	$84.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$418.00	$130.91
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$307.00	$97.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	217	72	$205.95	$51.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	191	68	$111.65	$36.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	174	58	$111.56	$28.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$575.84	$191.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	35	$386.59	$130.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$281.50	$94.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	27	$453.32	$146.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$327.27	$89.39

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD060014L

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

0016462400002 (PA)

Commercial Insurance / Payer ID Mamsi

367632 (PA)

Commercial Insurance / Payer ID Informed

25-1716306 (PA)

Commercial Insurance / Payer ID Medicare Group #

867633 (PA)

Commercial Insurance / Payer ID Railroad Medicare

P00700657 (PA)

Commercial Insurance / Payer ID Capital Blue Cross

02195701 (PA)

Commercial Insurance / Payer ID Aetna Hmo

6720367 (PA)

Commercial Insurance / Payer ID Devon

25-1716306 (PA)

Commercial Insurance / Payer ID Healthnet/tricare

25-1716306 (PA)

Commercial Insurance / Payer ID Md Blue Shield

546216-01 (MD)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Christopher Andrews , MD

Surgery

NPI 1235287772

Doctor of Medicine (M.D.)

Dr. Robert Finley Iii , MD

Surgery

NPI 1730126368

Doctor of Medicine (M.D.)

Dr. James Hurley , MD

Surgery

NPI 1750362935

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 March 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2013

Registered at 45 ROADSIDE AVE, WAYNESBORO, PA 172682542 (Tel: 7177627155)

📍

Updated Business Mailing Address March 08, 2013

Registered at 785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 172014232 (Tel: 7172639555)

👤

Provider Name / Credentials Updated March 08, 2013

Recorded as MARK ROTH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2013

Surgery (License #MD060014L in PA)

🟢

Initial NPI Registration & Enumeration October 28, 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: 1144210279

Entity Type:

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

Enumeration Date: October 28, 2005

Last Update: March 07, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

785 5th Avenue, Suite 3

Chambersburg, PA 172014232

Phone: 7172639555

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.