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DR. JEFFREY C ROACH M.D.
NPI 1861425811
Otolaryngology in Cambridge, MA

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
300 MOUNT AUBURN ST, SUITE 308, CAMBRIDGE, MA 02138(616) 354-1010(617) 354-7961 Get Directions Write a Review

NPPES record last updated: September 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey C Roach M.d. NPPES

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

DR. JEFFREY C ROACH M.D. (NPI 1861425811) is an individual otolaryngology provider in Cambridge, Massachusetts, licensed in Massachusetts (213496) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Auburn Hospital, and is a graduate of Georgetown University School Of Medicine (1997).

NPPES Registry Identity

NPI1861425811
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JEFFREY C ROACHCredential: M.D.
Location Address300 MOUNT AUBURN ST, SUITE 308Cambridge, MA 02138-5600
Mailing Address300 Mount Auburn St, Suite 308Cambridge, MA 02138-5600
Phone(616) 354-1010
Fax(617) 354-7961
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1997
Enumeration DateJuly 9, 2006
Last NPPES UpdateSeptember 26, 2011
✔ NPI 1861425811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MA · 213496
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
300 MOUNT AUBURN ST, Cambridge, MA 02138
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Other Identifiers 3

Medicare UPINH60405
Medicare ID-Type UnspecifiedA33911
Medicaid0195871MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Jeffrey C 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 ID9436044625
PECOS Enrollment IDI20040217000647
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 10

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.
631 services387 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
624 services356 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.
201 services201 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
193 services179 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
183 services176 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
119 services118 patients

Hospital Affiliations CMS Care Compare

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

Mount Auburn Hospital

Acute Care Hospitals · Cambridge, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220002
Location330 Mount Auburn StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02138 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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.

DR. MARGARET LOVE MCLAUGHLIN M.D.
Internal Medicine (Nephrology)
300 MOUNT AUBURN ST, SUITE 515
CAMBRIDGE, MA 02138
Middlesex County (617) 864-1571
RODERICK H CROCKER JR. MD
Urology
300 MOUNT AUBURN ST, STE 519
CAMBRIDGE, MA 02138
Middlesex County (617) 547-4400
DR. THOMAS CAUGHEY MD
Internal Medicine (Hematology & Oncology)
300 MOUNT AUBURN ST, HEMA/ONC
CAMBRIDGE, MA 02138
Middlesex County (617) 497-9646
MISS JOANNE BRUNY NP
Nurse Practitioner (Family)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 492-3500
CAMBRIDGE OTOLARYNGOLOGY
Otolaryngology
300 MOUNT AUBURN ST, SUITE 308
CAMBRIDGE, MA 02138
Middlesex County (617) 354-1010
KAREN L AHLERT M.D.
Surgery
300 MOUNT AUBURN ST, SUITE 407
CAMBRIDGE, MA 02138
Middlesex County (617) 868-7456
DR. SHILPA JOSHI DESAI MD
Ophthalmology
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-5571
DR. JULIO C. AYALA MD
Internal Medicine (Gastroenterology)
300 MOUNT AUBURN ST
CAMBRIDGE, MA 02138
Middlesex County (617) 499-0026

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 Jeffrey Roach's NPI number?

The NPI number for Jeffrey Roach is 1861425811. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Jeffrey Roach located?

Jeffrey Roach practices at 300 Mount Auburn St Suite 308, Cambridge, MA 02138. The listed phone number is (616) 354-1010.

What is Jeffrey Roach's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Roach enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Roach accept?

Health plans from Anthem Blue Cross and Blue Shield list Jeffrey 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 Jeffrey Roach affiliated with any hospitals?

According to CMS data, Jeffrey Roach is affiliated with Mount Auburn Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Roach was last updated on September 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.