JAMES THOMAS ROAN M.D.
NPI 1275602393
Obstetrics & Gynecology in Worcester, MA

Q: What is James Roan's NPI number?

The NPI number for James Roan is 1275602393. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is James Roan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for James Roan was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 06, 2006PECOS EnrolledAccepts Medicare Assignment

89.43/100

CMS Quality Rating

123 SUMMER ST, SUITE 150 S, WORCESTER, MA 01608(508) 368-3110(508) 368-3113 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About James Thomas Roan M.d. NPPES

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

JAMES THOMAS ROAN M.D. (NPI 1275602393) is an individual obstetrics & gynecology provider in Worcester, Massachusetts, licensed in Massachusetts (78554) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and maintains a secondary practice location in Brockton.

NPPES Registry Identity

NPI1275602393

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAMES THOMAS ROANCredential: M.D.

Location Address123 SUMMER ST, SUITE 150 SWorcester, MA 01608-1216

Mailing Address680 Centre StBrockton, MA 02302-3308 · (508) 941-7379

Phone(508) 368-3110

Fax(508) 368-3113

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1991

Enumeration DateNovember 6, 2006

Last NPPES UpdateApril 12, 2021

NPPES CertifiedApril 12, 2021

✔ NPI 1275602393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MA · 78554

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

123 SUMMER ST, Worcester, MA 01608

Open in Google Maps ↗

Secondary Practice Location 1

Location 1680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7379

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Thomas Roan 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 ID2466414396

PECOS Enrollment IDI20041102000731

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 Reassignments

Medicare enrollment records show James Roan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signature Healthcare Medical Group Inc

40 mi

Internal Medicine

110 LIBERTY ST
Brockton, MA 02301

Reassigned Medicare billing, Massachusetts enrollment
409 clinicians in this Medicare group

NPI 1508804949 (508) 894-0400

Obhg Massachusetts - Direct, P.C.

43 mi

Obstetrics

680 CENTRE ST
Brockton, MA 02302

Reassigned Medicare billing, Massachusetts enrollment
Medicare enrollment name: Obhg Massachusetts - Direct PC
100 clinicians in this Medicare group

NPI 1487229035 (800) 967-2289

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

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220052

Location680 Center StreetBrockton, MA 02302 · Plymouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$73.22 typical visit price

range $19.11 – $144.84

Typical copayment $18.30 (range $4.77 – $36.21)

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.

89.43/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.41

Promoting Interoperability

100

Improvement Activities

Cost

72.68

Other Providers at the Same Location NPPES 20

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

MADAIAH LOKESHWARI M.D.

Hospitalist

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6849

DR. MADHAV SHARMA MD

Internal Medicine

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5438

YESHASWINI KATKOORI MD

Student in an Organized Health Care Education/Training Program

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DANIELLE MAY PELOQUIN

Nurse Anesthetist, Certified Registered

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DR. YAYAN CHEN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6049

FARRICY & KRAFT LLP

Obstetrics & Gynecology (Obstetrics)

123 SUMMER ST, SUITE 560
WORCESTER, MA 01608

Worcester County (508) 363-6100

KEITH A BEALS PA

Physician Assistant

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

ANNE E COVINO CNM

Midwife

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

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 Roan's NPI number?

The NPI number for James Roan is 1275602393. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is James Roan located?

James Roan practices at 123 Summer St Suite 150 S, Worcester, MA 01608. The listed phone number is (508) 368-3110.

What is James Roan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Roan enrolled in Medicare?

Yes. James Roan 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.

Which organizations bill Medicare for James Roan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Roan reassigns Medicare benefits to 2 organizations: Signature Healthcare Medical Group Inc (Brockton, MA) and Obhg Massachusetts - Direct, P.C. (Brockton, MA). Each 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 James Roan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Roan accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list James Roan 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 Roan affiliated with any hospitals?

According to CMS data, James Roan is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for James Roan was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.