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BENJAMIN G ROACH OD
NPI 1124541719
Optometrist in The Woodlands, TX

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment
83.66/100
CMS Quality Rating
17450 ST LUKES WAY STE 100, THE WOODLANDS, TX 77384(281) 363-3443(936) 271-1351 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 8, 2022, Jul 25, 2017 (2 updates tracked since 2017).

About Benjamin G Roach Od NPPES

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

BENJAMIN G ROACH OD (NPI 1124541719) is an individual optometrist in The Woodlands, Texas, licensed in Texas (9164TG) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1124541719
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBENJAMIN G ROACHCredential: OD
Location Address17450 ST LUKES WAY STE 100The Woodlands, TX 77384-8045
Mailing Address17450 St Lukes Way Ste 100The Woodlands, TX 77384-8045 · (281) 363-3443 · Fax (936) 271-1351
Phone(281) 363-3443
Fax(936) 271-1351
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateJuly 25, 2017
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1124541719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in TX · 9164TG✔ Licensed in TX · 9164T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17450 ST LUKES WAY STE 100, The Woodlands, TX 77384
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Benjamin G Roach Od 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 ID7911279476
PECOS Enrollment IDI20170817002010
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 9

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
241 services142 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
210 services198 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
85 services85 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
72 services65 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
62 services53 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
47 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

83.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.45
Improvement Activities40
Cost63.05

Other Providers at the Same Location NPPES 6

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

DR. SARAH SHURBET WEEKS O.D
Optometrist
17450 ST LUKES WAY STE 100
THE WOODLANDS, TX 77384
Montgomery County (281) 363-3443
MANN EYE CENTER
Ophthalmology
17450 ST LUKES WAY STE 100
THE WOODLANDS, TX 77384
Montgomery County (281) 367-2010
DR. ADAM DAVID MILLER O.D.
Optometrist
17450 ST LUKES WAY STE 100
THE WOODLANDS, TX 77384
Montgomery County (281) 363-3443
DR. ROHAN VERMA M.D.
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
17450 ST LUKES WAY STE 100
SHENANDOAH, TX 77384
Montgomery County (281) 367-2010
DR. ANTHONY RICHARD KRUGER OD
Optometrist
17450 ST LUKES WAY STE 100
THE WOODLANDS, TX 77384
Montgomery County (281) 363-3443
FRANK J RUDA M.D.
Ophthalmology
17450 ST LUKES WAY STE 100
THE WOODLANDS, TX 77384
Montgomery County (281) 363-3443

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 Benjamin Roach's NPI number?

The NPI number for Benjamin Roach is 1124541719. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Benjamin Roach located?

Benjamin Roach practices at 17450 St Lukes Way Ste 100, The Woodlands, TX 77384. The listed phone number is (281) 363-3443.

What is Benjamin Roach's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Benjamin Roach enrolled in Medicare?

Yes. Benjamin Roach 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.

What insurance does Benjamin Roach accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 10 other insurers list Benjamin 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 Benjamin Roach was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.