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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK D ROQUE M.D.
NPI 1164427043
Pediatrics in Simpsonville, SC

Active since June 16, 2005PECOS Enrolled
559 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680(864) 272-0388 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Nov 18, 2021, Jan 20, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Mark D Roque M.d. NPPES

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

DR. MARK D ROQUE M.D. (NPI 1164427043) is an individual pediatrics provider in Simpsonville, South Carolina, licensed in South Carolina (21147) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164427043
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARK D ROQUECredential: M.D.
Location Address559 HARRISON BRIDGE RDSimpsonville, SC 29680-7004
Mailing Address559 Harrison Bridge RdSimpsonville, SC 29680-7004 · (864) 272-0388
Phone(864) 272-0388
Sole ProprietorNo
Enumeration DateJune 16, 2005
Last NPPES UpdateJuly 21, 20264 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1164427043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 21147
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
559 HARRISON BRIDGE RD, Simpsonville, SC 29680
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next.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)

Dr. Mark D Roque M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29680 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

ZAINA GORDON
Counselor (Mental Health)
559 HARRISON BRIDGE RD
SIMPSONVILLE, SC 29680
Greenville County (864) 272-0388
CAROLINE HUNTER TURNER PA-C
Physician Assistant
559 HARRISON BRIDGE RD
SIMPSONVILLE, SC 29680
Greenville County (864) 272-0388

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 Mark Roque's NPI number?

The NPI number for Mark Roque is 1164427043. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is Mark Roque located?

Mark Roque practices at 559 Harrison Bridge Rd, Simpsonville, SC 29680. The listed phone number is (864) 272-0388.

What is Mark Roque's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Roque enrolled in Medicare?

Yes. Mark Roque is registered in the Medicare PECOS enrollment system.

What insurance does Mark Roque accept?

Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Mark Roque 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 Mark Roque was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.