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DR. WILLIAM PATRICK ROCHE IV MD
NPI 1326396490
Psychiatry & Neurology - Clinical Neurophysiology in Macon, GA

Active since August 21, 2012PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
389 MULBERRY ST STE 200, MACON, GA 31201(478) 743-9123(478) 742-9809 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 3, 2019, Dec 3, 2018, Nov 14, 2015 (3 updates tracked since 2015).

About Dr. William Patrick Roche Iv Md NPPES

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

DR. WILLIAM PATRICK ROCHE IV MD (NPI 1326396490) is an individual clinical neurophysiology provider in Macon, Georgia, licensed in Georgia (76152) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326396490
Entity TypeIndividualMale
Primary Taxonomy2084N0600X
Provider Legal NameDR. WILLIAM PATRICK ROCHE IVCredential: MD
Location Address389 MULBERRY ST STE 200Macon, GA 31201
Mailing Address389 Mulberry St Ste 200Macon, GA 31201-7904 · (478) 743-9123 · Fax (478) 742-9809
Phone(478) 743-9123
Fax(478) 742-9809
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 2014
Enumeration DateAugust 21, 2012
Last NPPES UpdateMay 3, 20193 updates tracked since enumeration
✔ NPI 1326396490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
License✔ Licensed in GA · 76152
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 76152 (GA)
389 MULBERRY ST STE 200, Macon, GA 31201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 180 Jesse Hill Jr Dr SE, Department of NeurologyAtlanta, GA 30303-3031 · Phone (404) 616-4567
Location 2380 Hospital Drive Bldg A Ste 370Macon, GA 31217 · Phone (478) 330-7200 · Fax (478) 330-7201

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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. William Patrick Roche Iv Md 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 ID9638479975
PECOS Enrollment IDI20190313001229
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 11

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.

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.
119 services101 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services84 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
84 services84 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
79 services37 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.
62 services62 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.
47 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110125
Location200 Industrial BoulevardDublin, GA 31021 · Laurens County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES

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

NEUROLOGY ASSOCIATES LLP
Psychiatry & Neurology (Neurology)
389 MULBERRY ST STE 200
MACON, GA 31201
Bibb County (478) 743-9123

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 William Roche's NPI number?

The NPI number for William Roche is 1326396490. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is William Roche located?

William Roche practices at 389 Mulberry St Ste 200, Macon, GA 31201. The listed phone number is (478) 743-9123.

What is William Roche's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is William Roche enrolled in Medicare?

Yes. William 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 William Roche accept?

Health plans from Alliant Health Plans, Inc. list William 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 William Roche affiliated with any hospitals?

According to CMS data, William Roche is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Fairview Park Hospital and Coliseum Medical Centers, LLC, Dba.

When was this NPI record last updated?

The NPPES record for William Roche was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.