Kelly Roth, PA-C
NPI 1760939680ActiveIndividual· Physician Assistant, Surgical· North Franklin, CT
Physician Assistant, Surgical (PA-C) with Mass General Brigham Medical Group Western Massachusetts Inc, practicing in North Franklin, Connecticut. 75 Medicare patients in 2024, $5,288 paid; nearly all of their 132 Part D prescriptions were generic (99%). Lists Cooley Dickinson Hospital Inc,the as a hospital affiliation.
Overview
| NPI | 1760939680 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 8, 2016 |
| Last updated in NPPES | Sep 8, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
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 - Physician Assistant (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 75 |
|---|---|
| Services billed | 96 across 27 procedure codes |
| Paid by Medicare | $5,288 |
Part D prescriptions in 2024
| Prescriptions (claims) | 132 · 163 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $3,427 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Mass General Brigham Medical Group Western Massachusetts IncNorthampton, MA · 291 clinicians
Hospital affiliation
- Cooley Dickinson Hospital Inc,theNorthampton, MA
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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