Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Benjamin Jacob Roth , PA-C

Physician Assistant • Oak Park, IL

Active NPI 1649620352 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

3 Erie Ct
Oak Park, IL 603022519

Call 7087636747 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3 Erie Ct

Oak Park, IL 603022519

Telephone 7087636747
Organization at the Same NPPES Address or Phone
Professional Anesthesia, S.c. Facility NPI 1174572218

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Rockford Psychiatric Medical Services Sc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2016

Medicare patients

106 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $12,967 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2024.

Paid by Medicare

About $10,167 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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, 2024.

30-day fills

24 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$157 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Open Payments general payments, program year 2025

All general payments: $40.82 across 2 records.

By nature of payment

  • Food and Beverage: $40.82 across 2 records.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $40.82 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.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2016

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Benjamin Roth 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Benjamin Roth 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Oak Park and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in Oak Park, IL (2024, 13 clinicians with data). Median for this group: 109. Middle half: 60 to 190.

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Medicare-allowed amount

A higher Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in Oak Park, IL (2024, 13 clinicians with data). Median for this group: $8,985. Middle half: $4,807 to $26,476.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Physician Assistant in Oak Park, IL (2024, 13 clinicians with data). Median for this group: $6,011. Middle half: $3,091 to $18,559.

Close to the middle for clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Benjamin Roth are from 2023.

31 active clinicians are listed under Physician Assistant with a practice address in Oak Park, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Oak Park

19.4% of these 31 clinicians have the CMS telehealth indicator.

67.7% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), 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

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $40.82.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
INVEGA SUSTENNA General $25.27
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
SPRAVATO General $15.55

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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, 2017–2024; 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
99285 Emergency department visit with high level of medical decision making
58 56 $1578.28 $149.95
99284 Emergency department visit with moderate level of medical decision making
42 42 $1132.14 $96.73
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
30 30 $70.73 $6.91

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D · Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Cephalexin Cephalexin 13 91 $104.07 13
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 11 30 $52.98 11

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.005905

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20160901000653

Enrollment State Jurisdiction

IL

PECOS Control ID

0345536264

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Rockford Psychiatric Medical Services Sc

1639 N Alpine Rd, Rockford, IL 611071481

Phone: 8153951500

Rockford Psychiatric Medical Services Sc

6319 Fairview Ave, Westmont, IL 605592889

Phone: 6305662096

Rockford Psychiatric Medical Services Sc

311 S County Farm Rd, Wheaton, IL 601872477

Phone: 6305179233

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Dr. Paula Green , MD

Emergency Medicine

NPI 1609876077

Doctor of Medicine (M.D.)

Jessica Jacobs , NP

Nurse Practitioner

NPI 1912332610

Nurse Practitioner

Dr. Anthony Nuval , MD

Emergency Medicine

NPI 1508251109

Doctor of Medicine (M.D.)

Katlyn Poupore , RN

Nurse Practitioner

NPI 1154676625

Registered Nurse

Nicole Schnoes , NP

Nurse Practitioner - Family

NPI 1174978696

Nurse Practitioner

Jessica Setlak , APN

Nurse Practitioner - Family

NPI 1942658927

Advanced Practice Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
👤
Provider Name / Credentials Updated August 28, 2024

Recorded as BENJAMIN ROTH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Physician Assistant (license number reported to NPPES: IL 085.005905)

âś…
NPI Profile Active June 14, 2016

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) June 14, 2016

Registered at 3 ERIE CT, OAK PARK, IL 603022519 (Tel: 7087636747)

📍
Business Mailing Address (Initial Record) June 14, 2016

Registered at 2000 GREEN RD, STE 300, ANN ARBOR, MI 481051598

👤
Provider Name / Credentials (Initial Record) June 14, 2016

Recorded as BENJAMIN ROTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 14, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649620352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2016
Last Update: August 28, 2024
Sole Proprietor: Yes

Other Physician Assistants in Oak Park

All Physician Assistants in Oak Park

Mailing Address

2000 Green Rd, Ste 300

Ann Arbor, MI 481051598

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.