Brian P. Roth, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD00029599 Issued in WA

Practice address

1022 W Ivy Ave
Moses Lake, WA 98837-4107

Phone

(509) 765-7845

Fax

(509) 765-5192

NPI assigned

May 23, 2005

Last updated

Aug 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 WA

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 1

Specialty

Ophthalmology

Education

University of Washington School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Basin Eye Clinic PSGroup PAC ID 4183513435, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Hospital Hospital, Moses Lake, WA, CCN 500033

Merit-based Incentive Payment System (MIPS)

Final score

91.18 of 100Reported as group

Quality

100

Improvement activities

40

Cost

70.58

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Columbia Basin Eye Clinic PS

  • Ophthalmology Physician
  • Moses Lake, WA
  • NPI 1124159736
  Medicare reassignment Care Compare group NPD

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

• Grant County Public Hospital District 1

  dba Samaritan

  • General Acute Care Hospital
  • Moses Lake, WA
  • NPI 1902818883
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1649273889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W IVY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374107",
            "telephone_number": "509-765-7845",
            "fax_number": "509-765-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W IVY AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988374107",
            "telephone_number": "509-765-7845",
            "fax_number": "509-765-5192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "BRIAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00029599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7729007",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfred S. Roller, MD
• Megan Rolly
• Griselda Romero Ortiz
• Kendall Roney, PSS
• Rory a Knapp DDS
• Kalen Roy
• Roylance Chiropractic
• Blake Bert Roylance, DC
• Sarah Mae Roylance, SLP
• Steve S Roylance, PT

• Ophthalmology Physician in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.