Travis Roth, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME143139 Issued in FL

Practice address

1040 Gulf Breeze Pkwy Ste 204
Gulf Breeze, FL 32561-7808

Phone

(850) 916-8693

NPI assigned

Jun 17, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Hospital Hospital, Pensacola, FL, CCN 100093
• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
• Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

Merit-based Incentive Payment System (MIPS)

Final score

81.01 of 100Reported as group

Quality

62.34

Promoting interoperability

95

Improvement activities

40

Cost

78.51

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baptist Medical Group LLC

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1376779892
  Medicare reassignment Care Compare group NPD
• STV Sports Medicine & Orthopedics LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Birmingham, AL
  • NPI 1467818575

  Orthopaedic Surgery

  Medicare reassignment NPD
• Baptist Medical Group LLC

  • Orthopaedic Surgery Physician
  • Pensacola, FL
  • NPI 1629749692
  NPD
• STV Sports Medicine & Orthopedics LLC

  • Durable Medical Equipment & Medical Supplies
  • Pelham, AL
  • NPI 1770365504

  Orthopaedic Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1700979465
  Care Compare affiliation
• Baptist Health Care, Inc.

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation
• Sacred Heart Health System, Inc.

  • General Acute Care Hospital
  • Pensacola, FL
  • NPI 1922032424
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1417361593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17567",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325227567",
            "telephone_number": "850-916-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 GULF BREEZE PKWY STE 204",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325617808",
            "telephone_number": "850-916-8693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Saint Vincents Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051638",
            "country_code": "US",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "TRAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME143139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106561400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Rojas, APRN
• Roose Performance LLC
• Christina Marie Ropp
• Damien Ekki Rosa, DPT
• Kendall Alina Rosebrock, LAT, ATC
• Lee Ann Ruffin, BSPT
• Mark David Ruiz, PHD
• Sakara Nicole Runge
• Karen Elaine Rushing-Holtgrewe, RNFA
• Sacred Heart Health System, Inc.

• Orthopaedic Surgery Physician in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.