DR. LAWRENCE ROACH O.D.
NPI 1619910023
Ophthalmology in Philadelphia, PA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
70.1/100
CMS Quality Rating
9126 BLUE GRASS RD, PHILADELPHIA, PA 19114(215) 552-8333 Get Directions Write a Review

NPPES record last updated: January 9, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lawrence Roach O.d. NPPES

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

DR. LAWRENCE ROACH O.D. (NPI 1619910023) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OEG000934) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1983).

NPPES Registry Identity

NPI1619910023
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LAWRENCE ROACHCredential: O.D.
Location Address9126 BLUE GRASS RDPhiladelphia, PA 19114-3202
Mailing Address525 Parmentier RdWarminster, PA 18974-2942 · (215) 674-0140
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1983
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 9, 2013
NPI 1619910023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · OEG000934
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
9126 BLUE GRASS RD, Philadelphia, PA 19114

Other Identifiers 1

Medicare ID-Type Unspecified451278PA

Accepted 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. Lawrence Roach O.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 ID1153326210
PECOS Enrollment IDI20060922000393
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 2

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
90 services89 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
49 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

70.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.08
Promoting Interoperability87
Improvement Activities40
Cost27.09

Referred Medical Equipment & Supplies CMS DME claims 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims11 services$52.24 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$13.84 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.

Ophthalmology
9126 BLUE GRASS RD
PHILADELPHIA, PA 19114
Ophthalmology
9126 BLUE GRASS RD
PHILADELPHIA, PA 19114
Nutritionist
9126 BLUE GRASS RD
PHILADELPHIA, PA 19114
Dietitian, Registered
9126 BLUE GRASS RD, 101
PHILADELPHIA, PA 19114
Dietitian, Registered
9126 BLUE GRASS RD
PHILADELPHIA, PA 19114
Nutritionist (Nutrition, Education)
9126 BLUE GRASS RD, SUITE 101
PHILADELPHIA, PA 19114

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 Lawrence Roach's NPI number?

The NPI number for Lawrence Roach is 1619910023. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Lawrence Roach located?

Lawrence Roach practices at 9126 Blue Grass Rd, Philadelphia, PA 19114. The listed phone number is (215) 552-8333.

What is Lawrence Roach's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lawrence Roach enrolled in Medicare?

Yes. Lawrence 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 Lawrence Roach accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Lawrence 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.

When was this NPI record last updated?

The NPPES record for Lawrence Roach was last updated on January 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.