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Nicholas Connor Roth

NPI 1437908134ActiveIndividual· Surgery· Springfield, IL

Surgery in Springfield, Illinois, licensed in IL, with an NPI issued in May 2024. Part D covered 26 prescriptions written in 2024, 96% of them generic.

Overview

NPI1437908134
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certified by providerMay 15, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Surgery Primary208600000X125083173IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - General Surgery (IL)

Part D prescriptions in 2024

Prescriptions (claims)26 · 30 30-day fills
Patients16
Total drug cost$885.08
Generic share96% of claims

Medicare sources and data years

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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