Ted M. Roth, MD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · South Bend, IN
Ted M. Roth, MD is a urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician with a practice address in South Bend, Indiana, and NPI 1174503866, issued on Jan 19, 2006. Check the license (Indiana 01081226A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Ted M. Roth
- Credential
- MD
- Primary taxonomy
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X
- License number
- 01081226A IN
Self-reported in NPPES; status is on the state search - Practice location
- 621 Memorial Dr Ste 302, South Bend, IN 46601
- Phone
- (574) 367-3800
- Enumerated
- Jan 19, 2006
- Record last updated
- Jan 3, 2025
- Fax
- (574) 367-3801
- Medicaid ID
- 300020434 IN
- Medicare enrollment
- Enrolled (PECOS I20250723004473); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records → All 21 in Indiana → Look up another NPI →
Also registered at 621 Memorial Dr Ste 302
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jennifer Bauer, NPFamily Nurse Practitioner1346231412
- Matthew Koscielski, M.D.Critical Care Medicine (Internal Medicine) Physician1629052543
- Carlton Lyons, M.D.Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician1346294360
- Charbel Maskiny, MDCritical Care Medicine (Internal Medicine) Physician1093912180
Verify Ted M. Roth in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01081226ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3% more Medicare Part D claims than the average urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician in 2024
754 Medicare Part D claims for 259 beneficiaries, against an average of 732 among the 998 providers of this specialty who prescribed in Part D. Brand-name drugs were 24% of claims. 57 claims were for opioids.
Most prescribed
- Solifenacin Succinate193 claims
- Gemtesa65 claims
- Oxycodone-Acetaminophen51 claims
- Premarin51 claims
- Estradiol40 claims
- Fesoterodine Fumarate Er38 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $1,446.37
26 payments; by number, the most common kind was food and beverage; the largest payer was Axonics, Inc. The 864 providers of this specialty with any payment received $2,558.52 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- State OF Mississippi-University OF Mississippi Medical CenterFlowood, MS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ted M. Roth among 21 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records in Indiana
Ted M. Roth, MD is one of 21 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records with a practice address in Indiana. 95% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 14% of them.
- NPI issued2006 · 14% of these records are older, 57% newer
- In a Medicare fileYes · 95% of these records are
- In the CMS Doctors and Clinicians fileYes · 86% of these records are
- Graduated1996 · median 2000 among the 18 with a school on file
- Record last updated2025 · 14% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207VF0040X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers in Indiana
There are 21 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records in Indiana.
All 21 in Indiana → Every provider in South Bend → Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician nationwide →
The 8 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician records with the nearest ZIP codes
- Carlton Lyons, M.D.South Bend, IN 466011346294360
- Gita Singh, MDFort Wayne, IN 468251003880527
- Scott Boyd, MDFort Wayne, IN 468451386639565
- Gerardo Heredia Melero, M.D.Fort Wayne, IN 468451174839401
- Brent Suozzi, MDIndianapolis, IN 462371093966269
- Patrina Agosta, MDIndianapolis, IN 462021346703782
- Amanda Chapa, MD, MPHIndianapolis, IN 462021548899255
- Michael Heit, MDIndianapolis, IN 462021336143031
Common questions
What is Ted M. Roth, MD's NPI number?
Ted M. Roth, MD's National Provider Identifier (NPI) is 1174503866, issued on Jan 19, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ted M. Roth, MD located?
The NPPES record lists a practice address at 621 Memorial Dr Ste 302, South Bend, IN, 46601. Phone: (574) 367-3800. Providers update this record themselves, so call before visiting.
How can I verify Ted M. Roth, MD's license?
NPPES lists Indiana license number 01081226A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Ted M. Roth, MD prescribe under Medicare Part D?
In 2024, Ted M. Roth, MD had 754 Medicare Part D claims for 259 beneficiaries; the average among urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician prescribers was 732. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.