KENNETH WILLIAM ROACH M.D.
NPI 1780686014
Ophthalmology in Fuquay Varina, NC

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
96.06/100
CMS Quality Rating
1000 N MAIN ST, SUITE #204, FUQUAY VARINA, NC 27526(919) 567-3709 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth William Roach M.d. NPPES

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

KENNETH WILLIAM ROACH M.D. (NPI 1780686014) is an individual ophthalmology provider in Fuquay Varina, North Carolina, licensed in North Carolina (200300401) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Medical College Of Pennsylvania (1998).

NPPES Registry Identity

NPI1780686014
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKENNETH WILLIAM ROACHCredential: M.D.
Location Address1000 N MAIN ST, SUITE #204Fuquay Varina, NC 27526-2056
Mailing Address605 Attain St, # 101Fuquay Varina, NC 27526-1972 · (919) 567-3709
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1998
Enumeration DateMay 31, 2005
Last NPPES UpdateFebruary 6, 2018
NPI 1780686014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NC · 200300401
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1000 N MAIN ST, Fuquay Varina, NC 27526

Other Identifiers 1

Medicaid89134UYNC

Accepted 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

Kenneth William 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 ID4082508304
PECOS Enrollment IDI20040209000995
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 16

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.
584 services466 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
233 services167 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
192 services163 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.
190 services189 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
169 services147 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.
119 services119 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27526 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

96.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality92.13
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,494 patients5/55-star benchmark: 100%
Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
96%238 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
100%253 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,921 patients5/55-star benchmark: 100%
Falls: Plan of Care
100%25 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 683 patients
Patients screened: 100% · 683 patients
100%40 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
1000 N MAIN ST, SUITE 202
FUQUAY VARINA, NC 27526
Chiropractor
1000 N MAIN ST, SUITE 101
FUQUAY VARINA, NC 27526
Durable Medical Equipment & Medical Supplies
1000 N MAIN ST
FUQUAY VARINA, NC 27526
Chiropractor
1000 N MAIN ST, SUITE 101
FUQUAY VARINA, NC 27526
In Home Supportive Care
1000 N MAIN ST, SUITE 219
FUQUAY VARINA, NC 27526

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 Kenneth Roach's NPI number?

The NPI number for Kenneth Roach is 1780686014. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Kenneth Roach located?

Kenneth Roach practices at 1000 N Main St Suite #204, Fuquay Varina, NC 27526. The listed phone number is (919) 567-3709.

What is Kenneth Roach's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Roach enrolled in Medicare?

Yes. Kenneth 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.

What insurance does Kenneth Roach accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kenneth 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 Kenneth Roach affiliated with any hospitals?

According to CMS data, Kenneth Roach is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Roach was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.