2026 NPPES data Ophthalmology Physician NPI 1366449977 DO
Verify on CMS →

Richard Roth, DO

Ophthalmology Physician in Kingston, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,082 in Ophthalmology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
524
Medicare Part D claims · 181 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
52.5/100
▼ 31 pts below national avg 83.1 · Mid-tier
Industry payments
$2.4K
27 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Richard Roth, DO reported a CMS MIPS final score of 52.5/100 - below the 83.1 national average - and filed 524 Medicare Part D claims in 2023.

52.5/100
MIPS score · -31 vs avg
524
Part D claims, 2023
82%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Richard Roth, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

53 4th percentile higher than 4% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Richard Roth, DO sits

This provider among ophthalmology physician peers

Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Roth, DO writes more Part D claims than 26% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Richard Roth, DO-Part D claim volume, percentile in specialty: 26 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Richard Roth, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Richard Roth, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Richard Roth, DO?

Below national average

NPI registry status

Active

Issued 06/29/2005

NPI 1366449977

Primary specialty

Ophthalmology Physician

Mid-sized

22,082 US NPIs in this specialty

Medicare Part D claims

524 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

52.5/100 30.6 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Ophthalmology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Ophthalmology Physician - 0.4%Ophthalmology Physician0.4%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Richard Roth, DO's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
52.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) - 52.5/100 vs national avg 83.1

0%100%National avg83%52.5%
MIPS final score (Ophthalmology Physician) - 52.5/100 vs national avg 83.1
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Richard Roth, DO appears in the CMS NPPES registry as an Ophthalmology Physician provider holding DO credentials at 703 RUTTER AVE, Kingston, PA, 18704, with a listed phone of (570) 288-7405. NPI 1366449977 was issued on 06/29/2005.

Medicare Part D records for calendar year 2023 show 524 prescription claims written by this provider, covering 181 Medicare beneficiaries and totaling roughly $17K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 2.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 52.5/100 for the 2023 performance year (Quality 100, Cost 25.1), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,082 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.

Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

703 RUTTER AVE
Kingston, PA 18704

Provider Details

NPI 1366449977
Specialty Ophthalmology Physician
Credentials DO
Gender Male
NPI Issued 06/29/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

52.5252
Final Score
Avg: 83.1
100
Quality
25.084
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Richard Roth, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Vision Innovation Centers OF Pennsylvania LLC
Kingston, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Richard Roth, DO. Source: openpaymentsdata.cms.gov.

Total received

$2.4K

Largest payer

RxSight Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Richard Roth, DO. To verify Richard Roth, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Richard Roth, DO - brand share 18.0%
Ophthalmology Physician average

18% brand-name claims vs 82% generic, on 524 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

524
Total Claims
$17K
Total Drug Cost
181
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
549
Total Day Supply
9,163
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$12K
Generic Drug Cost
$5K
Opioid Claims
11 (2.1% rate)
Antibiotic Claims
57

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.23
Gender Split
66% female / 34% male
Age Distribution
<65: 17, 65-74: 87, 75-84: 62, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Richard Roth, DO prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Erythromycin
Erythromycin Base
182
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
66
Cephalexin
52
Prednisolone Acetate
51
Alprazolam
47
Ilevro
Nepafenac
19
Latanoprost
16
Ketorolac Tromethamine
14
Timolol Maleate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How Richard Roth, DO fits within the Ophthalmology Physician landscape nationally.

22,082
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

Richard Roth, DO's 524 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Roth.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Richard Roth, DO's specialty?
Richard Roth, DO specializes in Ophthalmology Physician and practices in Kingston, Pennsylvania. Credentials: DO.
How much does Richard Roth, DO prescribe under Medicare Part D?
In 2023, Richard Roth, DO wrote 524 Medicare Part D claims totaling $17K in drug costs for 181 beneficiaries.
What is Richard Roth, DO's Medicare quality score?
Richard Roth, DO has a CMS MIPS Final Score of 52.5/100 (Quality: 100, Cost: 25.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Roth, DO located?
Richard Roth, DO is located at 703 RUTTER AVE, Kingston, PA, 18704. Phone: (570) 288-7405.
What is Richard Roth, DO's NPI number?
Richard Roth, DO's National Provider Identifier (NPI) is 1366449977, issued on 06/29/2005.
Does Richard Roth, DO prescribe more brand-name or generic drugs?
Richard Roth, DO's prescribing is 18% brand-name and 82% generic drugs by claim count, with $12K in brand drug costs.
Does Richard Roth, DO prescribe opioids?
Yes, Richard Roth, DO had 11 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
How many Ophthalmology Physician providers are there in the US?
There are 22,082 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does Richard Roth, DO prescribe most often?
Based on 2023 Medicare Part D data, Richard Roth, DO's most frequently prescribed drugs include Erythromycin, Neomycin-Polymyxin-Dexameth, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Roth, DO accept Medicare?
Richard Roth, DO appears in CMS Medicare data with 524 Part D claims and 181 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Roth, DO's credentials?
Richard Roth, DO's NPI is 1366449977 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the PlainDoctor editorial team.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.