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DR. GEORGE ROQUE M.D.
NPI 1376505834
Internal Medicine in West Melbourne, FL

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1541 S WICKHAM RD, WEST MELBOURNE, FL 32904(321) 726-6331(321) 726-6371 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. George Roque M.d. NPPES

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

DR. GEORGE ROQUE M.D. (NPI 1376505834) is an individual internal medicine provider in West Melbourne, Florida, licensed in Florida (ME88828) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1376505834
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GEORGE ROQUECredential: M.D.
Location Address1541 S WICKHAM RDWest Melbourne, FL 32904-3540
Mailing Address1541 S Wickham RdWest Melbourne, FL 32904-3540 · (321) 254-1220 · Fax (321) 254-1250
Phone(321) 726-6331
Fax(321) 726-6371
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 23, 2012
✔ NPI 1376505834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME88828
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1541 S WICKHAM RD, West Melbourne, FL 32904
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Other Identifiers 17

Other10024Floridancare Provider #
Other201388186Tricare Provider #
Other201388186United Healthcare #
Other246370Wellcare Mcaid Provider #
Other9362860Phcs Provider #
Other37972Bcbs Provider #
Other201388186Health First Provider #
Other201388186Humana Provider #
Other9303692Cigna Provider #
Medicaid270958900FL
Other5585831Ccn Network Provider #
Medicare PINE2245Z
OtherP00196213Railroad Medicare #
Other1809978First Health Provider#
Other6691200001FL · Medicare Dme
Other7274610Aetna Provider #
Medicare UPINI12400

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. George Roque 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 ID6709858681
PECOS Enrollment IDI20040811000290
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 George Roque reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Atlantic Medical Group
Same address
Internal Medicine
1541 S WICKHAM RD
West Melbourne, FL 32904
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1144281247 (321) 726-6331

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

Areas of Expertise CMS Part B claims 10

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.
957 services348 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.
111 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
98 services98 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
78 services74 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
64 services64 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
53 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Melbourne Regional Medical Center

Acute Care Hospitals · Melbourne, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100291
Location250 North Wickham RoadMelbourne, FL 32935 · Brevard County
Emergency services

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100316
Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32904 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
71%24 patients3/55-star benchmark: 100%
Breast Cancer Screening
79%593 patients4/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
32%565 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
76%1,300 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
89%1,219 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
11%477 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
27%477 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%9,070 patients4/55-star benchmark: 100%
HIV Screening
7%964 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
82%2,393 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
28%2,719 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
84%1,290 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 1,451 patients
Patients totalRate: 25% · 1,576 patients
27%1,576 patients2/55-star benchmark: 100%
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 3

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
14 suppliers36 claims116 services$5.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers20 claims36 services$0.98 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
7 suppliers79 claims79 services$210.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DANIEL VEGA PA-C
Physician Assistant (Medical)
1541 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 726-6331
ATLANTIC MEDICAL GROUP
Internal Medicine
1541 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 726-6331
DR. SIDDHARTH SINGH ARORA D.O., M.S.
Psychiatry & Neurology (Psychiatry)
1541 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (844) 782-6963
DR. ALLAMM MORALES M.D.
Psychiatry & Neurology (Neurology)
1541 S WICKHAM RD
MELBOURNE, FL 32904
Brevard County (321) 953-3589
CANCER CARE CENTERS OF BREVARD INC
Internal Medicine (Hematology & Oncology)
1541 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 725-8300
R & R INTERNAL MEDICINE SERVICES PA
Internal Medicine
1541 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 726-6331

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 George Roque's NPI number?

The NPI number for George Roque is 1376505834. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is George Roque located?

George Roque practices at 1541 S Wickham Rd, West Melbourne, FL 32904. The listed phone number is (321) 726-6331.

What is George Roque's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is George Roque enrolled in Medicare?

Yes. George Roque 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 organization bills Medicare for George Roque's services?

According to the CMS Revalidation Reassignment List (October 2026 release), George Roque reassigns Medicare benefits to Atlantic Medical Group (West Melbourne, FL). 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 George Roque's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does George Roque accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., UnitedHealthcare and Wellpoint list George Roque 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 George Roque affiliated with any hospitals?

According to CMS data, George Roque is affiliated with Holmes Regional Medical Center, Melbourne Regional Medical Center, Viera Hospital and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for George Roque was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.