Doctor profile · Federal record

Dr. Douglas Roth, MD

Plastic Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Mount Kisco, NY

  • NPI 1205873924
  • Accepts Medicare
  • 36 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
90 S Bedford RD, Mount Kisco Medical Group, PC
Mount Kisco, NY 105493412
(914) 241-1050
fax (914) 242-2909
Mailing address
110 S Bedford RD, Mount Kisco Medical Group, PC
Mount Kisco, NY 105493446

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
July 22, 2016
Year of graduation
1990 — 36 yrs since
Specialty taxonomy
208200000X — NUCC code
State license (1)
New York #186557
Medicaid
NY #01921351

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1205873924. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
287
Distinct HCPCS
9
Medicare allowed
$44,555
HCPCS Description Services Patients Avg allowed
99202 New patient office or other outpatient visit, 15-29 minutes 105 105 $83
99213 Established patient office or other outpatient visit, 20-29 minutes 38 33 $105
99203 New patient office or other outpatient visit, 30-44 minutes 29 29 $130
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 25 16 $1
11900 Injection into skin growth, 1-7 growths 22 16 $69
99212 Established patient office or other outpatient visit, 10-19 minutes 21 17 $67
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 20 20 $311
15260 Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less 16 16 $989
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 11 11 $283

In context: peer comparison

Among 1 peers in Mount Kisco Plastic Surgery Physician, average services per provider: 31. This provider delivers 9.3× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$188
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Tela Bio, INC. 1 $167.54
Merck Sharp & Dohme LLC 1 $20.04

By nature of payment

Food and Beverage
$188

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
25
Patients
25
Total drug cost
$136
Drug Type Claims Patients Total cost
Cefadroxil Generic 14 14 $112
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 11 11 $24

Frequently asked questions

Auto-generated from federal data
What is Dr. Douglas Roth's medical specialty?
Dr. Douglas Roth practices Plastic Surgery Physician in Mount Kisco, NY.
Where does Dr. Douglas Roth practice?
Dr. Douglas Roth practices at 90 S Bedford RD, Mount Kisco, NY 105493412. Office phone: 9142411050.
What is Dr. Douglas Roth's NPI?
Dr. Douglas Roth's National Provider Identifier (NPI) is 1205873924, issued by NPPES.
Does Dr. Douglas Roth accept Medicare assignment?
Yes. Dr. Douglas Roth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Douglas Roth commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99202); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.