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CAYCE JOSEPH ROACH M.D.
NPI 1669859245
Emergency Medicine in San Antonio, TX

Active since May 02, 2015PECOS EnrolledAccepts Medicare Assignment
4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-2078(210) 702-6274 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cayce Joseph Roach M.d. NPPES

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

CAYCE JOSEPH ROACH M.D. (NPI 1669859245) is an individual emergency medicine provider in San Antonio, Texas, licensed in Texas (R6083) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Temple University School Of Medicine (2015).

NPPES Registry Identity

NPI1669859245
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCAYCE JOSEPH ROACHCredential: M.D.
Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402
Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-2078 · Fax (210) 702-6274
Phone(210) 358-2078
Fax(210) 702-6274
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2015
Enumeration DateMay 2, 2015
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1669859245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in TX · R6083✔ Licensed in PA · MT208169
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4502 MEDICAL DR, San Antonio, TX 78229
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First 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

Cayce Joseph 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 ID648575399
PECOS Enrollment IDI20180529000909
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 Reassignments

5

Medicare enrollment records show Cayce Roach reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uthscsa Dental School
0.2 mi
Oral and Maxillofacial Surgery
7703 FLOYD CURL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At San Antonio
  • 2,397 clinicians in this Medicare group
NPI 1750403887 (210) 567-3274
Victoria Emergency Partners LLC
69 mi
Emergency Medicine
1110 N SARAH DEWITT DR
Gonzales, TX 78629
  • Reassigned Medicare billing, Texas enrollment
  • 430 clinicians in this Medicare group
NPI 1164770996 (830) 672-7581
Travis County Emergency Physicians PA
74 mi
Emergency Medicine
1201 W 38TH ST
Austin, TX 78705
  • Reassigned Medicare billing, Texas enrollment
  • 1,511 clinicians in this Medicare group
NPI 1962440933 (330) 493-4443
Emergency Associates Of Central Texas PA
120 mi
Emergency Medicine
2201 S CLEAR CREEK RD
Killeen, TX 76549
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
NPI 1215418280 (865) 693-1000
Acs Primary Care Physicians Southwest, PA
298 mi
Emergency Medicine
1900 HOSPITAL BLVD
Gainesville, TX 76240
  • Reassigned Medicare billing, Texas enrollment
  • 1,193 clinicians in this Medicare group
NPI 1538101019 (925) 924-1600

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
75 services74 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
29 services29 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Longview Regional Medical Center

Acute Care Hospitals · Longview, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450702
Location2901 N Fourth StLongview, TX 75605 · Gregg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

EDUARDO N. POLLONO MD
Internal Medicine (Cardiovascular Disease)
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
DR. MAHDIEH IRAN NEJAD PARIZI M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
RICHARD LEE BALLENTINE D.M.D.
Student in an Organized Health Care Education/Training Program
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-2015
MR. STEVAN REYES PTA
Physical Therapy Assistant
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4253
MRS. CLAIRE LELEUX BEADLE CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000
NNENNA AWAGU CRNA
Nurse Anesthetist, Certified Registered
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 567-4500
DR. CYNTHIA N NGUYEN PHARMD
Pharmacist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 743-4034
DR. JONATHAN EDWARD SLOVIK MD
Hospitalist
4502 MEDICAL DR
SAN ANTONIO, TX 78229
Bexar County (210) 358-4000

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 Cayce Roach's NPI number?

The NPI number for Cayce Roach is 1669859245. It was assigned to this individual provider in the NPPES registry on May 2, 2015.

Where is Cayce Roach located?

Cayce Roach practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (210) 358-2078.

What is Cayce Roach's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Cayce Roach enrolled in Medicare?

Yes. Cayce 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.

Which organizations bill Medicare for Cayce Roach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cayce Roach reassigns Medicare benefits to 5 organizations: Uthscsa Dental School (San Antonio, TX), Victoria Emergency Partners LLC (Gonzales, TX), Travis County Emergency Physicians PA (Austin, TX), Emergency Associates Of Central Texas PA (Killeen, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each 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 Cayce Roach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cayce Roach accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Community First, Imperial Insurance Companies, Inc. and Molina Healthcare and 4 other insurers list Cayce 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 Cayce Roach affiliated with any hospitals?

According to CMS data, Cayce Roach is affiliated with University Health System and Longview Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Cayce Roach was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.