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MARTIN G ROACH DO
NPI 1043316466
Family Medicine in Opelika, AL

Active since September 15, 2006PECOS Enrolled
7667 AL HIGHWAY 51 STE B, OPELIKA, AL 36804(334) 737-5557(334) 727-5646 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 22, 2019, Oct 19, 2018 (2 updates tracked since 2018).

About Martin G Roach Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTIN G ROACH DO (NPI 1043316466) is an individual family medicine provider in Opelika, Alabama, licensed in Alabama (DO866) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1043316466
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTIN G ROACHCredential: DO
Location Address7667 AL HIGHWAY 51 STE BOpelika, AL 36804-2200
Mailing Address7667 Al Hwy 51 Suite BOpelika, AL 36801 · (334) 737-5557 · Fax (334) 737-5646
Phone(334) 737-5557
Fax(334) 727-5646
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateApril 22, 20192 updates tracked since enumeration
✔ NPI 1043316466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · DO866
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7667 AL HIGHWAY 51 STE B, Opelika, AL 36804
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Secondary Practice Location 1

Location 12900 E University Dr Ste 110Auburn, AL 36830-7720 · Phone (334) 502-2440 · Fax (334) 502-2460

Other Identifiers 2

Other51595037AL · Blue Cross Blue Shield
Other263751277Tricare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin G Roach Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
66%271 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%4,173 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%12,653 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 32% · 977 patients
Patients tobacco: 26% · 977 patients
15%66 patients1/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
1%1,845 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers28 claims61 services$6.37 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier13 claims13 services$39.12 avg. paid by Medicare
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, free standing, complete with grab bar E0912
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$28.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers25 claims25 services$93.58 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers14 claims2,527 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAMPER HOLDINGS, LLC
Clinic/Center (Primary Care)
7667 AL HIGHWAY 51 STE B
OPELIKA, AL 36804
Lee County (334) 707-7174
MR. ARIN MICHAEL MCCARTY FNP
Family Medicine
7667 AL HIGHWAY 51 STE B
OPELIKA, AL 36804
Lee County (334) 737-5557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martin Roach's NPI number?

The NPI number for Martin Roach is 1043316466. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Martin Roach located?

Martin Roach practices at 7667 Al Highway 51 Ste B, Opelika, AL 36804. The listed phone number is (334) 737-5557.

What is Martin Roach's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Martin Roach enrolled in Medicare?

Yes. Martin Roach is registered in the Medicare PECOS enrollment system.

What insurance does Martin Roach accept?

Health plans from Blue Cross and Blue Shield of Alabama list Martin Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martin Roach was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.