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DR. FRINE T ROCA MD
NPI 1265487185
Pediatrics in Fort Payne, AL

Active since May 23, 2006PECOS Enrolled
205 GRAND AVE NW, STE B, FORT PAYNE, AL 35967(256) 979-1515(256) 979-1517 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Frine T Roca Md NPPES

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

DR. FRINE T ROCA MD (NPI 1265487185) is an individual pediatrics provider in Fort Payne, Alabama, licensed in Alabama (00016324) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265487185
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. FRINE T ROCACredential: MD
Location Address205 GRAND AVE NW, STE BFort Payne, AL 35967-2107
Mailing Address205 Grand Ave Nw, Ste BFort Payne, AL 35967-2107 · (256) 979-1515 · Fax (256) 979-1517
Phone(256) 979-1515
Fax(256) 979-1517
Sole ProprietorYes
Enumeration DateMay 23, 2006
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1265487185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 00016324
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.
205 GRAND AVE NW, Fort Payne, AL 35967
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Other Names 1

Other Name (5)Dr. Frine E De Dios Md

Other Identifiers 5

Other51003773AL · Bcbs
Medicare PIN051557587DEDAL
Medicaid051557587AL
Medicare UPINE17840AL
Medicaid541385602AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frine T Roca Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Frine Roca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Horizon Healthcare LLC
0.3 mi
Clinic/Center
205 GRAND AVE NW STE A
Fort Payne, AL 35967
  • Reassigned Medicare billing, Alabama enrollment
  • 13 clinicians in this Medicare group
NPI 1952659419 (256) 635-6600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35967 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.

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.

MRS. CATHY ANNETTE OLINGER C.N.M.,F.N.P.
Nurse Practitioner (Family)
205 GRAND AVE NW, STE A
FORT PAYNE, AL 35967
Dekalb County (256) 635-6600
MS. CAROLYN FAY BREWER STIEFEL C.R.N.P
Nurse Practitioner
205 GRAND AVE NW, SUITE B
FORT PAYNE, AL 35967
Dekalb County (256) 979-1515
VALLEY HEAD CLINIC LLC
Clinic/Center
205 GRAND AVE NW, STE B
FORT PAYNE, AL 35967
Dekalb County (256) 979-1515

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 Frine Roca's NPI number?

The NPI number for Frine Roca is 1265487185. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Dr. Frine E De Dios MD.

Where is Frine Roca located?

Frine Roca practices at 205 Grand Ave NW Ste B, Fort Payne, AL 35967. The listed phone number is (256) 979-1515.

What is Frine Roca's specialty?

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

Is Frine Roca enrolled in Medicare?

Yes. Frine Roca is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Frine Roca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frine Roca reassigns Medicare benefits to Horizon Healthcare LLC (Fort Payne, AL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frine Roca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frine Roca accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Frine Roca 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 Frine Roca was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.