DR. MACK ROACH III M.D.
NPI 1770523359
Radiology - Therapeutic Radiology in San Francisco, CA

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
74.46/100
CMS Quality Rating
1600 DIVISADERO STREET, H1031, SAN FRANCISCO, CA 94143(415) 353-7175(415) 353-9883 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mack Roach Iii M.d. NPPES

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

DR. MACK ROACH III M.D. (NPI 1770523359) is an individual therapeutic radiology provider in San Francisco, California, licensed in California (00G42845) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1979).

NPPES Registry Identity

NPI1770523359
Entity TypeIndividualMale
Primary Taxonomy2085R0203X
Provider Legal NameDR. MACK ROACH IIICredential: M.D.
Location Address1600 DIVISADERO STREET, H1031San Francisco, CA 94143-0001
Mailing Address1600 Divisadero Street, H1031San Francisco, CA 94143-1708 · (415) 353-7175 · Fax (415) 353-9883
Fax(415) 353-9883
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1979
Enumeration DateJune 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1770523359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0203X
License Licensed in CA · 00G42845
Definition
Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
1600 DIVISADERO STREET, San Francisco, CA 94143

Other Identifiers 1

Medicare UPINE83131CA

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. Mack Roach Iii 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 ID4587747423
PECOS Enrollment IDI20080214000604
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 12

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.

Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
615 services68 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
487 services47 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
140 services31 patients
Design and construction of radiation treatment device for high precision radiation therapy 77338
A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.
103 services67 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
73 services70 patients
High precision radiation therapy planning 77301
High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.
73 services67 patients

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.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

Other Providers at the Same Location NPPES 11

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

Pathology (Clinical Pathology/Laboratory Medicine)
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143
Internal Medicine (Cardiovascular Disease)
1600 DIVISADERO STREET, SUITE C-244 #1609
SAN FRANCISCO, CA 94143
Internal Medicine (Medical Oncology)
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143
Urology
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143
Internal Medicine
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143
Internal Medicine (Medical Oncology)
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143
Genetic Counselor, MS
1600 DIVISADERO STREET, 3RD FLOOR
SAN FRANCISCO, CA 94143
Internal Medicine
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

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 Mack Roach's NPI number?

The NPI number for Mack Roach is 1770523359. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Mack Roach located?

Mack Roach practices at 1600 Divisadero Street H1031, San Francisco, CA 94143. The listed phone number is (415) 353-7175.

What is Mack Roach's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

Is Mack Roach enrolled in Medicare?

Yes. Mack 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.

When was this NPI record last updated?

The NPPES record for Mack Roach was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.