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DANIEL ANDREW ROQUIZ M.D.
NPI 1295041986
Family Medicine in Sebring, FL

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
935 MALL RING RD, SEBRING, FL 33870(863) 314-4466 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daniel Andrew Roquiz M.d. NPPES

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

DANIEL ANDREW ROQUIZ M.D. (NPI 1295041986) is an individual family medicine provider in Sebring, Florida, licensed in Florida (ME142720) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and maintains a secondary practice location in Hayden.

NPPES Registry Identity

NPI1295041986
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL ANDREW ROQUIZCredential: M.D.
Location Address935 MALL RING RDSebring, FL 33870-8515
Mailing Address935 Mall Ring RdSebring, FL 33870-8515 · (863) 314-4466
Phone(863) 314-4466
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2011
Enumeration DateAugust 19, 2010
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
✔ NPI 1295041986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME142720✔ Licensed in ID · M12502✔ Licensed in CA · A122899
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
935 MALL RING RD, Sebring, FL 33870
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Secondary Practice Location 1

Location 1265 W Prairie Shopping CtrHayden, ID 83835-9855 · Phone (208) 772-7850 · Fax (208) 772-2313

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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

Daniel Andrew Roquiz 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 ID7214157585
PECOS Enrollment IDI20200602001518
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.

Hospital Affiliations CMS Care Compare 3

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

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Adventhealth Wauchula

Critical Access Hospitals · Wauchula, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101300
Location735 S 5th AveWauchula, FL 33873 · Hardee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%5,391 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
86%850 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%918 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%1,330 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
71%1,330 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%1,330 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
38%1,330 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims28 services$6.59 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$83.19 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$30.98 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$205.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Daniel Roquiz's NPI number?

The NPI number for Daniel Roquiz is 1295041986. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Where is Daniel Roquiz located?

Daniel Roquiz practices at 935 Mall Ring Rd, Sebring, FL 33870. The listed phone number is (863) 314-4466.

What is Daniel Roquiz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Roquiz enrolled in Medicare?

Yes. Daniel Roquiz 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 Daniel Roquiz accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Molina Healthcare and UnitedHealthcare list Daniel Roquiz 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 Daniel Roquiz affiliated with any hospitals?

According to CMS data, Daniel Roquiz is affiliated with Adventhealth Lake Wales, Adventhealth Sebring and Adventhealth Wauchula.

When was this NPI record last updated?

The NPPES record for Daniel Roquiz was last updated on August 11, 2020. 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.