Doctor profile · Federal record
Dr. Ted Roth, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician (CMS: Obstetrics/Gynecology) · Obstetrics & Gynecology Physician · South Bend, IN
- NPI 1174503866
- Accepts Medicare
- 30 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
621 Memorial Dr Ste 302
South Bend, IN 466011073
(574) 367-3800
fax (574) 367-3801 - Additional location
-
100 Navarre Pl Ste 4470
South Bend, IN 466011168 - Mailing address
-
1115 Burns St
South Bend, IN 466174403
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- January 3, 2025
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 207VF0040X — NUCC code
- State license (1)
- Indiana #01081226A
- Medicaid
- IN #300020434
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174503866. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
732
Distinct HCPCS
10
Medicare allowed
$83,535
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 124 | 92 | $118 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 101 | 101 | $152 | |
51741 |
Electronic assessment of bladder emptying | 80 | 71 | $7 | |
81002 |
Urinalysis, manual test | 80 | 71 | $3 | |
52000 |
Diagnostic exam of bladder and urethra using an endoscope | 69 | 69 | $152 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 64 | 47 | $84 | |
51729 |
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies | 49 | 48 | $355 | |
51797 |
Insertion of device into abdomen with pressure and urine flow rate study | 49 | 48 | $177 | |
51784 |
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings | 46 | 46 | $30 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 33 | 28 | $167 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 61. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$1,446
Transactions
26
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Axonics, Inc. | 7 | $797.64 | |
| Caldera Medical, Inc | 3 | $262.93 | |
| C. R. Bard, Inc. & Subsidiaries | 5 | $159.00 | |
| Sumitomo Pharma America, Inc. | 5 | $126.36 | |
| Astellas Pharma US Inc | 5 | $85.02 | |
| Medtronic, Inc. | 1 | $15.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
534
Patients
236
Total drug cost
$138,170
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Solifenacin Succinate | Generic | 86 | 27 | $12,216 |
| Gemtesa (Vibegron) | Brand | 60 | 22 | $67,369 |
| Estradiol | Generic | 59 | 42 | $5,373 |
| Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) | Brand | 53 | 48 | $156 |
| Premarin (Estrogens, Conjugated) | Brand | 38 | 24 | $19,695 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 35 | 23 | $539 |
| Fesoterodine Fumarate Er (Fesoterodine Fumarate) | Brand | 34 | 0 | $3,513 |
| Colestipol Hcl | Generic | 30 | 11 | $5,374 |
| Levofloxacin | Generic | 24 | 24 | $83 |
| Trimethoprim | Generic | 22 | 0 | $1,352 |
Hospital affiliations
Frequently asked questions
What is Dr. Ted Roth's medical specialty?
Dr. Ted Roth practices Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in South Bend, IN.
Where does Dr. Ted Roth practice?
Dr. Ted Roth practices at 621 Memorial Dr Ste 302, South Bend, IN 466011073. Office phone: 5743673800.
What is Dr. Ted Roth's NPI?
Dr. Ted Roth's National Provider Identifier (NPI) is 1174503866, issued by NPPES.
Does Dr. Ted Roth accept Medicare assignment?
Yes. Dr. Ted Roth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ted Roth commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Electronic assessment of bladder emptying (HCPCS 51741). Source: CMS Medicare Physician & Other Practitioners file.