RONALD E ROCHA M.D.
NPI 1780611533
Pathology - Anatomic Pathology & Clinical Pathology in San Luis Obispo, CA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
94.03/100
CMS Quality Rating
3701 S HIGUERA ST, STE 200, SAN LUIS OBISPO, CA 93401(805) 541-6033 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2024, Oct 11, 2019 (2 updates tracked since 2019).

About Ronald E Rocha M.d. NPPES

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

RONALD E ROCHA M.D. (NPI 1780611533) is an individual anatomic pathology & clinical pathology provider in San Luis Obispo, California, licensed in California (G76988) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (1991).

NPPES Registry Identity

NPI1780611533
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRONALD E ROCHACredential: M.D.
Location Address3701 S HIGUERA ST, STE 200San Luis Obispo, CA 93401-7462
Mailing AddressPo Box 5007San Luis Obispo, CA 93403-5007 · (805) 710-7308
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1991
Enumeration DateJune 27, 2006
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
NPI 1780611533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in CA · G76988
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License G76988 (CA)
3701 S HIGUERA ST, San Luis Obispo, CA 93401

Other Identifiers 2

MedicaidGR0058760CA
Medicaid00G769880CA

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

Ronald E Rocha 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 ID2961426465
PECOS Enrollment IDI20060124000463
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 24

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,862 services1,035 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
334 services160 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
309 services91 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
191 services158 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
156 services138 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
151 services134 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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.

94.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.06
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Clinical Medical Laboratory
3701 S HIGUERA ST, STE. 200
SAN LUIS OBISPO, CA 93401
Pathology (Anatomic Pathology & Clinical Pathology)
3701 S HIGUERA ST, STE 200
SAN LUIS OBISPO, CA 93401
Pathology (Clinical Pathology/Laboratory Medicine)
3701 S HIGUERA ST, STE 200
SAN LUIS OBISPO, CA 93401
Pathology (Cytopathology)
3701 S HIGUERA ST, STE 200
SAN LUIS OBISPO, CA 93401
Pathology (Anatomic Pathology & Clinical Pathology)
3701 S HIGUERA ST
SAN LUIS OBISPO, CA 93401
Pathology (Clinical Pathology/Laboratory Medicine)
3701 S HIGUERA ST, STE 200
SAN LUIS OBISPO, CA 93401
Pathology (Clinical Pathology/Laboratory Medicine)
3701 S HIGUERA ST, STE 200
SAN LUIS OBISPO, CA 93401
Pathology (Clinical Pathology/Laboratory Medicine)
3701 S HIGUERA ST, STE 200
SAN LUIS OBISPO, CA 93401

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 Ronald Rocha's NPI number?

The NPI number for Ronald Rocha is 1780611533. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Ronald Rocha located?

Ronald Rocha practices at 3701 S Higuera St Ste 200, San Luis Obispo, CA 93401. The listed phone number is (805) 541-6033.

What is Ronald Rocha's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Ronald Rocha enrolled in Medicare?

Yes. Ronald Rocha 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 Ronald Rocha was last updated on June 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.