Kevin M Roth, MD - Medicare Orthopedic Surgery in Palo Alto, CA

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Kevin M Roth, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Palo Alto, California. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 795 El Camino Real, Palo Alto, California. You can reach out to his office (for appointments etc.) via phone at (650) 853-2951.

Kevin M Roth is licensed to practice in California (license number A121082) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679778252.

Contact Information

Kevin M Roth, MD
795 El Camino Real,
Palo Alto, CA 94301-2302
(650) 853-2951
Not Available

Map and Direction




Physician's Profile

Full NameKevin M Roth
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location795 El Camino Real, Palo Alto, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin M Roth graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1679778252
  • Provider Enumeration Date: 06/15/2007
  • Last Update Date: 06/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941467666
  • Enrollment ID: I20130722000439

Medical Identifiers

Medical identifiers for Kevin M Roth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679778252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery A121082 (California)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine A121082 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin M Roth allows following entities to bill medicare on his behalf.
Entity NameGolden State Orthopedics & Spine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972552990
PECOS PAC ID: 8224940739
Enrollment ID: O20031103000721
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameWebster Orthopaedic Medical Group, A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316914385
PECOS PAC ID: 9830098037
Enrollment ID: O20040206000671
Entity NameJohn Muir Trauma Physicians Billing Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093864837
PECOS PAC ID: 3476542515
Enrollment ID: O20050420001452
Entity NameBass Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174253405
PECOS PAC ID: 9032111281
Enrollment ID: O20070201000181
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1982845186
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000247
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1104067115
PECOS PAC ID: 4284538778
Enrollment ID: O20090501000456
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1497996524
PECOS PAC ID: 4284538778
Enrollment ID: O20090506000097
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1568851327
PECOS PAC ID: 4284538778
Enrollment ID: O20170927001545

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin M Roth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin M Roth, MD
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (650) 853-2951		Kevin M Roth, MD
795 El Camino Real,
Palo Alto, CA 94301-2302

Ph: (650) 853-2951

Reviews and Comments


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Molly Claire Meadows, MD
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.