DR. JAMES J. ROCHE M.D.
NPI 1164493748
Surgery in Scranton, PA

Q: What is James Roche's NPI number?

The NPI number for James Roche is 1164493748. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is James Roche's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for James Roche was last updated on January 27, 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.

Active since January 31, 2006PECOS EnrolledAccepts Medicare Assignment

225 PENN AVE, SCRANTON, PA 18503(570) 342-1643(570) 342-7119 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. James J. Roche M.d. NPPES

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

DR. JAMES J. ROCHE M.D. (NPI 1164493748) is an individual surgery provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD043662L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1164493748

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JAMES J. ROCHECredential: M.D.

Location Address225 PENN AVEScranton, PA 18503-1921

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500

Phone(570) 342-1643

Fax(570) 342-7119

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1986

Enumeration DateJanuary 31, 2006

Last NPPES UpdateJanuary 27, 2022

NPPES CertifiedJanuary 27, 2022

✔ NPI 1164493748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in PA · MD043662L

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

225 PENN AVE, Scranton, PA 18503

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Secondary Practice Location 1

Location 1300 Lackawanna Ave Ste 200Scranton, PA 18503-2001 · Phone (570) 342-7864

Other Identifiers 1

Medicaid0012453490001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. James J. Roche 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 ID9638205743

PECOS Enrollment IDI20100506000213

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 23

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.

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

150 services148 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

147 services142 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

118 services111 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

109 services86 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

79 services79 patients

Ultrasound of both sides of head and neck blood flow 93880

74 services71 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

60 services59 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

58 services56 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

52 services49 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

51 services48 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

41 services36 patients

Ultrasound of leg arteries or artery grafts 93925

40 services40 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

40 services40 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

40 services21 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

33 services30 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Insertion of tube for infusion (5 years or older) 36569

This procedure involves placing a small, flexible tube into a vein, usually in the arm. It's done to allow quick, efficient delivery of fluids or medications directly into the bloodstream. It's a common, safe process that helps manage various health conditions.

22 services19 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

20 services20 patients

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.

19 services19 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

16 services16 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

15 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390125

Location601 Park StreetHonesdale, PA 18431 · Wayne County

Emergency services Birthing friendly

Regional Hospital Of Scranton

Acute Care Hospitals · Scranton, PA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number390237

Location746 Jefferson AvenueScranton, PA 18501 · Lackawanna County

Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390338

Location330 Main StreetDickson City, PA 18519 · Lackawanna County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Other Providers at the Same Location NPPES 3

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

BEVERLY BARONE TOMASETTI NP

Nurse Practitioner (Adult Health)

225 PENN AVE
SCRANTON, PA 18503

Lackawanna County (570) 342-7864

DR. KRISTINE KELLEY M.D.

Surgery

225 PENN AVE
SCRANTON, PA 18503

Lackawanna County (570) 342-7864

ROBERT J. CONCINI PA-C

Physician Assistant (Medical)

225 PENN AVE
SCRANTON, PA 18503

Lackawanna County (570) 342-7864

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 James Roche's NPI number?

The NPI number for James Roche is 1164493748. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Where is James Roche located?

James Roche practices at 225 Penn Ave, Scranton, PA 18503. The listed phone number is (570) 342-1643.

What is James Roche's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Roche enrolled in Medicare?

Yes. James Roche 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 James Roche accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Roche 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.

Is James Roche affiliated with any hospitals?

According to CMS data, James Roche is affiliated with Geisinger-Community Medical Center, Wayne Memorial Hospital, Regional Hospital Of Scranton and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for James Roche was last updated on January 27, 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.