DR. JOHN M ROEHMHOLDT MD
NPI 1801886965
Urology in Cheektowaga, NY

Active since October 28, 2005PECOS EnrolledAccepts Medicare Assignment
75.76/100
CMS Quality Rating
3085 HARLEM RD, STE 200, CHEEKTOWAGA, NY 14225(716) 844-5000(716) 844-5050 Get Directions Write a Review

NPPES record last updated: August 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John M Roehmholdt Md NPPES

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

DR. JOHN M ROEHMHOLDT MD (NPI 1801886965) is an individual urology provider in Cheektowaga, New York, licensed in New York (167540) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Albany Medical College Of Union University (1985).

NPPES Registry Identity

NPI1801886965
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JOHN M ROEHMHOLDTCredential: MD
Location Address3085 HARLEM RD, STE 200Cheektowaga, NY 14225-2563
Mailing Address3085 Harlem Rd, Suite 350Cheektowaga, NY 14225-2591 · (716) 844-5600 · Fax (716) 844-5750
Fax(716) 844-5050
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1985
Enumeration DateOctober 28, 2005
Last NPPES UpdateAugust 13, 2015
NPI 1801886965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 167540
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3085 HARLEM RD, Cheektowaga, NY 14225

Other Identifiers 8

Other000527023004NY · Bcbs Of Wny
Other1903219NY · Iha
Other070322000078NY · Fidelis
Medicare ID-Type UnspecifiedB24881NY
Medicare UPINE44055
OtherP00368540NY · Rr Medicare
Other00010149702NY · Univera
Other145176NY · Workers Comp

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. John M Roehmholdt Md 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 ID3971491861
PECOS Enrollment IDI20040310001197
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 19

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
653 services342 patients
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.
396 services276 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.
274 services184 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
105 services87 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
88 services59 patients
Psa (prostate specific antigen) measurement, total 84153
PSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
77 services63 patients

Hospital Affiliations CMS Care Compare 4

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330078
Location2157 Main StreetBuffalo, NY 14214 · Erie County
Emergency services Birthing friendly

Kenmore Mercy Hospital

Acute Care Hospitals · Kenmore, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330102
Location2950 Elmwood AvenueKenmore, NY 14217 · Erie County
Emergency services

Mount St. Mary's Hospital & Health Center

Acute Care Hospitals · Lewiston, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330188
Location5300 Military RoadLewiston, NY 14092 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14225 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
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

75.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.66
Promoting Interoperability77
Improvement Activities40
Cost73.45

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%215 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
0%354 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
19%414 patients1/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
5%87 patients1/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
94%103 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims1,860 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,500 services$6.21 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims2,400 services$6.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Radiology (Radiation Oncology)
3085 HARLEM RD, STE 100
CHEEKTOWAGA, NY 14225
Urology
3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225
Nurse Practitioner (Adult Health)
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Radiology (Diagnostic Radiology)
3085 HARLEM RD
CHEEKTOWAGA, NY 14225
Urology
3085 HARLEM RD, STE 350
CHEEKTOWAGA, NY 14225
Urology
3085 HARLEM RD, STE 200
CHEEKTOWAGA, NY 14225
Urology (Urogynecology and Reconstructive Pelvic Surgery)
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225
Physician Assistant
3085 HARLEM RD, SUITE 200
CHEEKTOWAGA, NY 14225

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 John Roehmholdt's NPI number?

The NPI number for John Roehmholdt is 1801886965. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is John Roehmholdt located?

John Roehmholdt practices at 3085 Harlem Rd Ste 200, Cheektowaga, NY 14225. The listed phone number is (716) 844-5000.

What is John Roehmholdt's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Roehmholdt enrolled in Medicare?

Yes. John Roehmholdt 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.

Is John Roehmholdt affiliated with any hospitals?

According to CMS data, John Roehmholdt is affiliated with Kaleida Health, Sisters Of Charity Hospital, Kenmore Mercy Hospital and Mount St. Mary's Hospital & Health Center.

When was this NPI record last updated?

The NPPES record for John Roehmholdt was last updated on August 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.