THERESA PRYOR ROCA MD
NPI 1861470239
Pediatrics - Pediatric Cardiology in Pensacola, FL
About Theresa Pryor Roca Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA PRYOR ROCA MD (NPI 1861470239) is an individual pediatric cardiology provider in Pensacola, Florida, licensed in Florida (ME92034) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa Pryor Roca 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.
Medicare Billing Reassignments
3Medicare enrollment records show Theresa Roca reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mobile, AL 36604
- Reassigned Medicare billing, Alabama enrollment
- 210 clinicians in this Medicare group
Biloxi, MS 39532
- Reassigned Medicare billing, Mississippi enrollment
- 326 clinicians in this Medicare group
Gainesville, FL 32610
- Reassigned Medicare billing, Florida enrollment
- 3,324 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Reported Quality Measures
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.
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
PENSACOLA, FL 32504
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 Theresa Roca's NPI number?
The NPI number for Theresa Roca is 1861470239. It was assigned to this individual provider in the NPPES registry on January 5, 2006.
Where is Theresa Roca located?
Theresa Roca practices at 5153 N 9th Ave, Pensacola, FL 32504. The listed phone number is (850) 505-4700.
What is Theresa Roca's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Theresa Roca enrolled in Medicare?
Yes. Theresa Roca 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.
Which organizations bill Medicare for Theresa Roca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Roca reassigns Medicare benefits to 3 organizations: Imc-Diagnostic And Medical Clinic LLC (Mobile, AL), Ochsner Mississippi, LLC (Biloxi, MS) and Florida Clinical Practice Association Inc (Gainesville, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Roca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Roca accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Cigna Healthcare and 3 other insurers list Theresa Roca 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.
When was this NPI record last updated?
The NPPES record for Theresa Roca was last updated on July 17, 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.
# Theresa Pryor Roca, MD · NPI 1861470239
Pediatric Cardiology physician in Pensacola, Florida. Individual provider, active in the CMS NPPES registry since January 5, 2006.
## Identity
- **NPI:** 1861470239 (Entity type: Individual)
- **Enumerated:** January 5, 2006
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** ME92034 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 5153 N 9TH AVE, Pensacola, FL 32504
- **Phone:** (850) 505-4700 · **Fax:** (850) 505-4711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Imc-Diagnostic And Medical Clinic LLC (NPI 1447201066, Mobile, AL); Ochsner Mississippi, LLC (NPI 1407351786, Biloxi, MS); Florida Clinical Practice Association Inc (NPI 1063463768, Gainesville, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** July 17, 2018
- **Other identifiers:** Medicaid 00117936 (MS); Medicaid 009934152 (AL); Medicaid 273251300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1861470239) · Data from the CMS NPPES public registry.