Justin Stephan Roth, D.O.
NPI 1306109954ActiveIndividual· Orthopaedic Surgery, Pediatric Orthopaedic Surgery· Meridian, ID
Orthopaedic Surgery, Pediatric Orthopaedic Surgery (D.O.) with St Lukes Clinic-Treasure Valley LLC, practicing in Meridian, Idaho. Medicare paid $13,974 for services to 23 patients in 2024. Vericel Corporation was the largest of 5 companies reporting payments in 2025, $1,583 in all, mostly speaking and faculty fees. Lists St Luke's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1306109954 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 19, 2012 |
| Last updated in NPPES | Jul 28, 2023 |
| Certified by provider | Jul 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery Primary | 207XP3100X | O-1847 | ID |
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 207XP3100X | 187405 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (ID); Practitioner - Orthopedic Surgery (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 38 across 16 procedure codes |
| Paid by Medicare | $13,974 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Orthopedic Surgery |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliation
- St Luke's Regional Medical CenterBoise, ID
Industry payments (Open Payments)
- 2025$1,583 · 7 payments from 5 companies
- 2024$1,525 · 13 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Vericel Corporation | $832.52 | 1 |
| Miach Orthopaedics, Inc. | $649.98 | 2 |
| Depuy Synthes Sales Inc. | $40.30 | 2 |
| Medtronic, Inc. | $30.37 | 1 |
| Medical Device Business Services, Inc. | $30.00 | 1 |
What the 2025 payments were for
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$832.52 · 1 payment
- Travel and Lodging$498.97 · 2 payments
- Food and Beverage$251.68 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records