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DR. HARRY ALLEN ROACH M.D.
NPI 1396745089
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Metairie, LA

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment
4228 HOUMA BLVD STE 130, METAIRIE, LA 70006(504) 454-2222(504) 454-2388 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Harry Allen Roach M.d. NPPES

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

DR. HARRY ALLEN ROACH M.D. (NPI 1396745089) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Metairie, Louisiana, licensed in Louisiana (015840) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with East Jefferson General Hospital, and is a graduate of Tulane University School Of Medicine (1980).

NPPES Registry Identity

NPI1396745089
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. HARRY ALLEN ROACHCredential: M.D.
Location Address4228 HOUMA BLVD STE 130Metairie, LA 70006-3003
Mailing Address4228 Houma Blvd Ste 130Metairie, LA 70006-3003 · (504) 454-2222 · Fax (504) 454-2388
Phone(504) 454-2222
Fax(504) 454-2388
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1980
Enumeration DateJuly 26, 2005
Last NPPES UpdateJanuary 24, 2019
✔ NPI 1396745089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in LA · 015840
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

4228 HOUMA BLVD STE 130, Metairie, LA 70006
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Other Identifiers 1

Medicaid1370177LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Dr. Harry Allen Roach 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 ID3274620703
PECOS Enrollment IDI20071031000429
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 6

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.
124 services78 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
78 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 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.
29 services29 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
20 services17 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.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$170.30 typical visit price
range $55.50 – $170.30
Typical copayment $42.57 (range $13.87 – $42.57)
Most-billed visit code 99205
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
94%108 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
48%153 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.

Other Providers at the Same Location NPPES 4

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

BONNIE MCMANAMON HANSON
Physician Assistant
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
DR. TOD CLEMENT ENGELHARDT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
COLLEEN O TRAN PA-C
Physician Assistant
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222
DR. MICHAEL NELSON BROTHERS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4228 HOUMA BLVD STE 130
METAIRIE, LA 70006
Jefferson Parish (504) 454-2222

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 Harry Roach's NPI number?

The NPI number for Harry Roach is 1396745089. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Harry Roach located?

Harry Roach practices at 4228 Houma Blvd Ste 130, Metairie, LA 70006. The listed phone number is (504) 454-2222.

What is Harry Roach's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Harry Roach enrolled in Medicare?

Yes. Harry Roach 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 Harry Roach accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Harry Roach 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 Harry Roach affiliated with any hospitals?

According to CMS data, Harry Roach is affiliated with East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Harry Roach was last updated on January 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.