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Adam Corgan Roth, PA-C

NPI 1619648805ActiveIndividual· Physician Assistant· Gaylord, MI

Physician Assistant (PA-C) in Gaylord, Michigan, trained at Western Michigan Un Homer Stryker School of Med (class of 2021). 225 Medicare patients in 2024, $48,268 paid; all of their 264 Part D prescriptions were generic. Integra Lifesciences Corporation was the largest of 2 companies reporting payments in 2025, $145.30 in all, mostly food and beverage.

Overview

NPI1619648805
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 27, 2021
Last updated in NPPESSep 9, 2024
Certified by providerSep 9, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X5601010658MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients225
Services billed5,030 across 56 procedure codes
Paid by Medicare$48,268

Part D prescriptions in 2024

Prescriptions (claims)264 · 272 30-day fills
Patients111
Total drug cost$1,374
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolWestern Michigan Un Homer Stryker School of Med
Graduation year2021
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$145.30 · 2 payments from 2 companies
  • 2024$1,425 · 22 payments from 5 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$145.30 · 2 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Gaylord

All 24 physician assistants in Gaylord · All physician assistants in Michigan