NPI Details
DR. John G Roth, MD is a procedural dermatology dermatology in Lexington, KY with 38 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). DR. John G Roth, MD NPI is 1134193212. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:1988
The provider's business location address is:
177 BURT RD
LEXINGTON, KY
ZIP 40503-410
Phone: (859) 276-1511
Fax: (859) 276-3373
The NPI 1134193212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
- Destruction of skin growth, 1-14 growths (HCPCS:17110)
- Biopsy of related skin growth, first growth (HCPCS:11102)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Biopsy of related skin growth, each additional growth (HCPCS:11103)
- Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
- Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
- Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
- Punch biopsy, first skin growth (HCPCS:11104)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm (HCPCS:11643)
- Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
- Application of light by qualified health care professional to destroy precancer skin growth (HCPCS:96573)
- Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:11623)
- Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
- Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
- Biopsy of ear (HCPCS:69100)
- Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
- Punch biopsy, each additional skin growth (HCPCS:11105)
- Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
- Removal of skin tag, 1-15 skin tags (HCPCS:11200)
- Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
- Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
- Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
- Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:17282)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm (HCPCS:11624)
- Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Varicose vein removal (HCPCS:NAN08)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 2/15/2006 and was last updated on 1/6/2009.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207N00000X | Dermatology | | 28647 | KENTUCKY | No |
| 2 | 207NS0135X | Dermatology | Procedural Dermatology | 28647 | KENTUCKY | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F27002 | MEDICARE UPIN | | |
| 2 | 0202604 | MEDICARE PIN | KENTUCKY | |
| 3 | 64286479 | MEDICAID | KENTUCKY | |