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MICHAEL JUDSON ROACH MD
NPI 1487697801
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Charlotte, NC

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1237 HARDING PL, STE 4300, CHARLOTTE, NC 28204(704) 373-0212 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2024, May 11, 2023, Mar 15, 2023 and 57 more (60 updates tracked since 2018).

About Michael Judson Roach Md NPPES

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

MICHAEL JUDSON ROACH MD (NPI 1487697801) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Charlotte, North Carolina, licensed in North Carolina (2013-00469) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1487697801
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMICHAEL JUDSON ROACHCredential: MD
Location Address1237 HARDING PL, STE 4300Charlotte, NC 28204
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 373-0212
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2001
Enumeration DateJune 14, 2006
Last NPPES UpdateJuly 18, 202460 updates tracked since enumeration
NPPES CertifiedApril 10, 2022
✔ NPI 1487697801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in NC · 2013-00469
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.
Also ListedSurgeryTaxonomy 208600000X · License 2013-00469 (NC)
1237 HARDING PL, Charlotte, NC 28204
Open in Google Maps ↗

Secondary Practice Locations 4

Location 110650 Park RdCharlotte, NC 28210-8538 · Phone (704) 667-3840
Location 2200 Medical Park Dr, Ste 230Concord, NC 28025-2982 · Phone (704) 403-1349
Location 31237 Harding Pl, Ste 3100Charlotte, NC 28204 · Phone (704) 373-0212
Location 41021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Michael Judson Roach 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 ID9032332077
PECOS Enrollment IDI20140521000381
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 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.
57 services39 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.
43 services43 patients
Exam of lung with removal of lung lobe using an endoscope 32663
This is a procedure where an endoscope, a thin tube with a light and camera, is used to examine the lung and remove a lobe if necessary. It's less invasive than traditional surgery, resulting in shorter recovery time.
30 services30 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
30 services30 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.
25 services25 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.
25 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340098
Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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.

LAUREN MICHELLE RAMSEY PA
Physician Assistant
1237 HARDING PL, STE 4300
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
JOHN MICHAEL FEDOR MD
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
ELIZABETH OLUDAYO WILSON-DURHAM FNP
Nurse Practitioner (Family)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
ELLEN BARBOUR PRICE NP
Nurse Practitioner
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
JAI SINGH MD
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
JORGE ROBINSON ALEGRIA BOBADILLA MD
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
JEKO METODIEV MADJAROV MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212
WILLIAM EDWARD DOWNEY MD
Internal Medicine (Cardiovascular Disease)
1237 HARDING PL, STE 3100
CHARLOTTE, NC 28204
Mecklenburg County (704) 373-0212

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 Michael Roach's NPI number?

The NPI number for Michael Roach is 1487697801. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Michael Roach located?

Michael Roach practices at 1237 Harding Pl Ste 4300, Charlotte, NC 28204. The listed phone number is (704) 373-0212.

What is Michael Roach's specialty?

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

Is Michael Roach enrolled in Medicare?

Yes. Michael 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 Michael Roach accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 3 other insurers list Michael 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 Michael Roach affiliated with any hospitals?

According to CMS data, Michael Roach is affiliated with Atrium Health Pineville, Carolinas Medical Center/Behav Health, Atrium Health Union and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Michael Roach was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.