DR. JUSTIN STEPHAN ROTH D.O. NPI 1306109954

NPI Information

  • NPI: 1306109954
  • Provider Name: DR. JUSTIN STEPHAN ROTH, D.O.
  • Classification: Orthopaedic Surgery - 207XP3100X
  • Specialization: Pediatric Orthopaedic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3399 E LOUISE DR STE 200
    MERIDIAN, ID
    ZIP 83642
  • Phone: (208) 706-2663

Map and Directions

Get Directions

NPI Details

DR. Justin Stephan Roth, D.O. is a pediatric orthopaedic surgery orthopaedic surgery in Meridian, ID. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Justin Stephan Roth, D.O. NPI is 1306109954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3399 E LOUISE DR STE 200
MERIDIAN, ID
ZIP 83642-212
Phone: (208) 706-2663

The NPI 1306109954 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.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (HCPCS:27236)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Hip replacement (HCPCS:NAN09)

The enumeration date for this NPI number is 6/19/2012 and was last updated on 7/28/2023.

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
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryO-1847IDAHOYes
2207XP3100XOrthopaedic SurgeryPediatric Orthopaedic Surgery187405OREGONNo

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
1500746847MEDICAIDOREGON
2187405OTHEROREGONOREGON MEDICAL BOARD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.