1. Home
  2. Directory
  3. New York
  4. Watertown
  5. Internal Medicine
  6. NPI Profile

EDMUND J ROACHE M.D.
NPI 1780636704
Internal Medicine in Watertown, NY

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
200 MULLIN ST, WATERTOWN, NY 13601(315) 785-8591(315) 782-4475 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edmund J Roache M.d. NPPES

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

EDMUND J ROACHE M.D. (NPI 1780636704) is an individual internal medicine provider in Watertown, New York, licensed in New York (153941) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1980).

NPPES Registry Identity

NPI1780636704
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDMUND J ROACHECredential: M.D.
Location Address200 MULLIN STWatertown, NY 13601-3619
Mailing Address200 Mullin St, #102Watertown, NY 13601-3619 · (315) 782-4475 · Fax (315) 785-8591
Phone(315) 785-8591
Fax(315) 782-4475
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1980
Enumeration DateMay 17, 2006
Last NPPES UpdateAugust 3, 2015
✔ NPI 1780636704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 153941
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 MULLIN ST, Watertown, NY 13601
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN39113B
Medicare UPINB82343NY
Medicare PINRB0385
Medicaid00772743NY

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

Edmund J Roache 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 ID7618984477
PECOS Enrollment IDI20060320000442
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 6

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
197 services161 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services56 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
44 services32 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
36 services18 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13601 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

OCCUPATIONAL MEDICINE ASSOCIATES
Family Medicine (Adult Medicine)
200 MULLIN ST, #201
WATERTOWN, NY 13601
Jefferson County (315) 782-9125
MICHELLE LYNN NITSCHKE
Counselor (Mental Health)
200 MULLIN ST
WATERTOWN, NY 13601
Jefferson County (315) 782-4483
EDMUND JOSEPH ROACHE, M.D.
Internal Medicine
200 MULLIN ST
WATERTOWN, NY 13601
Jefferson County (315) 785-8591

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 Edmund Roache's NPI number?

The NPI number for Edmund Roache is 1780636704. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Edmund Roache located?

Edmund Roache practices at 200 Mullin St, Watertown, NY 13601. The listed phone number is (315) 785-8591.

What is Edmund Roache's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edmund Roache enrolled in Medicare?

Yes. Edmund Roache 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 Edmund Roache was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.