Dr. Michelle Curtis Roughton , MD
Surgery - Plastic and Reconstructive Surgery • Chicago, IL
5841 S Maryland Ave, Mc 6035
Chicago, IL 606371447
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Michelle Roughton is listed in NPPES under Surgery - Plastic and Reconstructive Surgery.
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NPI assigned on May 14, 2008; this date does not establish years in practice.
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Published CMS data list 17 Original Medicare Part B services in 2018.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Published rows only; this is not a quality measure.
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Published Part B service records, 2018:
- 99213 — Established patient outpatient office visit: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2017 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2018). CPT notice
See the full table · Guide: How to read Medicare Part B data
Practice Location & Contact Primary Location
5841 S Maryland Ave
Mc 6035
Chicago, IL 606371447
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Surgery - Plastic and Reconstructive Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,188 in 2018
The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Paid by Medicare
About $834 in 2018
The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.
Open Payments general payments, program year 2025
All general payments: $386.12 across 11 records.
By nature of payment
- Food and Beverage: $386.12 across 11 records.
Reporting-company totals (3 largest of 4)
- MOTIVA USA, LLC: $185.74 across 5 records.
- Mentor Worldwide LLC: $100.54 across 3 records.
- REVANCE THERAPEUTICS, INC.: $73.41 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Roughton has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Roughton as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Chicago and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Roughton are from 2018.
71 active clinicians are listed under Surgery - Plastic and Reconstructive Surgery with a practice address in Chicago, IL (135 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Chicago
8.5% of these 71 clinicians have the CMS telehealth indicator.
47.9% of these 71 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
CMS data for Medicare Part B services are available for 2018 only.
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Medicare-allowed amount
CMS data for Medicare-allowed amount are available for 2018 only.
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Paid by Medicare
CMS data for Medicare payment amount are available for 2018 only.
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $377.24 in 2021 to $386.12 in 2025.
- 2021: $377.24
- 2022: $498.47
- 2023: $326.00
- 2024: $2,405.74
- 2025: $386.12
Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): 11 records totaling $386.12.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
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Motiva Implant Matrix | General | $104.10 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
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DAXXIFY | General | $43.63 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
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MENTOR MemoryGel Resterilizable Gel Sizer | General | $40.89 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
|
MENTOR MemoryGel Resterilizable Gel Sizer | General | $37.32 |
| REVANCE THERAPEUTICS, INC. |
Food and Beverage
In-kind items and services
|
DAXXIFY | General | $29.78 |
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
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Motiva Implant Matrix | General | $27.36 |
| Davol Inc. |
Food and Beverage
In-kind items and services
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GalaFLEX | General | $26.43 |
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
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Motiva Implant Matrix | General | $24.26 |
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
|
Motiva Implant Matrix | General | $22.60 |
| Mentor Worldwide LLC |
Food and Beverage
In-kind items and services
|
MENTOR MemoryGel Resterilizable Gel Sizer | General | $22.33 |
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
|
Motiva Implant Matrix | General | $7.42 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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17 | 12 | $156.00 | $69.86 |
Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 2086S0122X
A surgeon who specializes in plastic and reconstructive surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
I20131009001835
NC
8628256229
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Surgery - Plastic and Reconstructive Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Student in an Organized Health Care Education/Training Program
Plastic Surgery
Doctor of Medicine (M.D.)
Surgery - Plastic and Reconstructive Surgery
Doctor of Medicine (M.D.)
Surgery - Plastic and Reconstructive Surgery
Career & Practice History
NPI enumerated May 14, 2008.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Surgery - Plastic and Reconstructive Surgery Specialists in Chicago
- Dr. Gregory Dumanian, MD
- Dr. Stefan Szczerba, MD
- Dr. Shailesh Agarwal, MD
- Dr. Spencer Brown, MD
- Dr. Georgios Kokosis, MD
- Dr. Julius Few, MD
Mailing Address
5841 S Maryland Ave, Mc 6035
Chicago, IL 606371447
Phone: 7737026302