BRADEN ROARK PA-C
NPI 1710767025
Physician Assistant in Rock Hill, SC

Q: What is Braden Roark's NPI number?

The NPI number for Braden Roark is 1710767025. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Q: What is Braden Roark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Braden Roark was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 03, 2023PECOS EnrolledAccepts Medicare Assignment

197 PIEDMONT BLVD STE 100, ROCK HILL, SC 29732(803) 324-1950(803) 324-1933 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 11, 2024, Oct 9, 2023, Oct 3, 2023 (3 updates tracked since 2023).

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About Braden Roark Pa-c NPPES

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

BRADEN ROARK PA-C (NPI 1710767025) is an individual physician assistant in Rock Hill, South Carolina, licensed in South Carolina (5048) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1710767025

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameBRADEN ROARKCredential: PA-C

Location Address197 PIEDMONT BLVD STE 100Rock Hill, SC 29732-1825

Mailing AddressPo Box 22224Belfast, ME 04915-4473

Phone(803) 324-1950

Fax(803) 324-1933

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 3, 2023

Last NPPES UpdateJanuary 30, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1710767025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · 5048

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSurgeryTaxonomy 208600000X · License 5048 (SC)

197 PIEDMONT BLVD STE 100, Rock Hill, SC 29732

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Secondary Practice Location 1

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-1414

Accepted Insurance

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

Braden Roark Pa-c 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 ID7719334333

PECOS Enrollment IDI20231103000652

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.

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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.

SARAH LYN RUHLAND NP

Nurse Practitioner (Acute Care)