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DR. KATHERINE W ROLLER M.D.
NPI 1093755563
Family Medicine in Walnut Creek, CA

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
1455 MONTEGO, SUITE 104, WALNUT CREEK, CA 94598(925) 946-1711(925) 946-1902 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Katherine W Roller M.d. NPPES

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

DR. KATHERINE W ROLLER M.D. (NPI 1093755563) is an individual family medicine provider in Walnut Creek, California, licensed in California (A62718) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1995).

NPPES Registry Identity

NPI1093755563
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHERINE W ROLLERCredential: M.D.
Location Address1455 MONTEGO, SUITE 104Walnut Creek, CA 94598-2990
Mailing AddressDept 34929, P.o. Box 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Phone(925) 946-1711
Fax(925) 946-1902
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1995
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 21, 2012
✔ NPI 1093755563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A62718
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.

1455 MONTEGO, Walnut Creek, CA 94598
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Other Identifiers 4

Medicare PINP00380169CA
Medicare PIN00A627183CA
Medicaid00A627180CA
Medicare UPING82568CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Katherine W Roller M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860497708
PECOS Enrollment IDI20060927000155
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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
8 suppliers30 claims78 services$4.88 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers11 claims15 services$0.75 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$49.94 avg. paid by Medicare
Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
1 supplier11 claims22 services$7.09 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
2 suppliers15 claims15 services$39.16 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 8

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

DR. MARY LUCILLE BOEGEL M.D.
Family Medicine (Adult Medicine)
1455 MONTEGO, #104
WALNUT CREEK, CA 94598
Contra Costa County (925) 946-1711
CYPRESS WOMENS CANCER TREATMENT
Obstetrics & Gynecology
1455 MONTEGO, STE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 627-3440
NORCAL UROLOGY MEDICAL GROUP
Urology
1455 MONTEGO, SUITE 102
WALNUT CREEK, CA 94598
Contra Costa County (925) 977-9200
DR. TAEJOON AHN M.D.
Family Medicine
1455 MONTEGO, SUITE 205
WALNUT CREEK, CA 94598
Contra Costa County (925) 939-4444
MICHELLE L MINOR RN PNP MN
Nurse Practitioner (Pediatrics)
1455 MONTEGO
WALNUT CREEK, CA 94598
Contra Costa County (925) 932-2402
MR. JOHN WOODSON ROBERTS MD
Urology
1455 MONTEGO, STE 102
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-0627
DR. MARTIN J BRAKER M.D.
Internal Medicine
1455 MONTEGO, SUITE 207
WALNUT CREEK, CA 94598
Contra Costa County (925) 937-4057
DR. DANIEL YOUNG PAIK MD
Obstetrics & Gynecology (Gynecologic Oncology)
1455 MONTEGO, SUITE 100
WALNUT CREEK, CA 94598
Contra Costa County (925) 627-3440

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 Katherine Roller's NPI number?

The NPI number for Katherine Roller is 1093755563. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Katherine Roller located?

Katherine Roller practices at 1455 Montego Suite 104, Walnut Creek, CA 94598. The listed phone number is (925) 946-1711.

What is Katherine Roller's specialty?

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

Is Katherine Roller enrolled in Medicare?

Yes. Katherine Roller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katherine Roller was last updated on June 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.