Travis L. Roethler, PA-C
NPI 1164400057ActiveIndividual· Physician Assistant· Faribault, MN
Physician Assistant (PA-C) with Mayo Clinic Health System-Southeast Minnesota Region, practicing in Faribault, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $405,066 for 5,660 claims, against $26,813 paid for services in 2024. Lists Allina Health Faribault Medical Center and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1164400057 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jan 3, 2006 |
| Last updated in NPPES | Oct 26, 2020 |
| Certified by provider | Oct 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9141 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 504 across 33 procedure codes |
| Paid by Medicare | $26,813 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,660 · 14,236 30-day fills |
|---|---|
| Patients | 622 |
| Total drug cost | $405,066 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1994 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mayo Clinic Health System-Southeast Minnesota RegionAustin, MN · 551 clinicians
Hospital affiliations
- Allina Health Faribault Medical CenterFaribault, MN
- Mayo Clinic Health System - Albert Lea and AustinAlbert Lea, MN
- Mayo Clinic Health System - MankatoMankato, MN
- Mayo Clinic Hospital RochesterRochester, MN
- Owatonna HospitalOwatonna, MN
Other facilities
- Adara Home Health IncHome health agency · Buffalo, MN
- Allina Health Home HealthHome health agency · Minneapolis, MN
- Home Health Care IncHome health agency · Golden Valley, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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