THERESA PRYOR ROCA MD
NPI 1861470239
Pediatrics - Pediatric Cardiology in Pensacola, FL

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
90.84/100
CMS Quality Rating
5153 N 9TH AVE, PENSACOLA, FL 32504(850) 505-4700(850) 505-4711 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1861470239
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameTHERESA PRYOR ROCACredential: MD
Location Address5153 N 9TH AVEPensacola, FL 32504
Mailing AddressPo Box 191, Provider Enrollment DeptRockland, DE 19732-0191 · (302) 651-6212 · Fax (302) 651-4945
Fax(850) 505-4711
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 5, 2006
Last NPPES UpdateJuly 17, 2018
NPI 1861470239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License Licensed in FL · ME92034
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
5153 N 9TH AVE, Pensacola, FL 32504

Other Identifiers 3

Medicaid00117936MS
Medicaid009934152AL
Medicaid273251300FL

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

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.

PECOS PAC ID7517990690
PECOS Enrollment IDI20260114003604
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.

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.

90.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%31 patients2/55-star benchmark: 61%
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 20

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

Physician Assistant
5153 N 9TH AVE
PENSACOLA, FL 32504
Genetic Counselor, MS
5153 N 9TH AVE, SUITE 201
PENSACOLA, FL 32504
Nurse Practitioner (Acute Care)
5153 N 9TH AVE, SUITE 404
PENSACOLA, FL 32504
Nurse Practitioner
5153 N 9TH AVE, STE 302
PENSACOLA, FL 32504
Nurse Practitioner (Family)
5153 N 9TH AVE, SUITE 302
PENSACOLA, FL 32504
Pediatrics (Pediatric Critical Care Medicine)
5153 N 9TH AVE
PENSACOLA, FL 32504
Pediatrics (Pediatric Critical Care Medicine)
5153 N 9TH AVE, 6TH FLOOR NEMOURS
PENSACOLA, FL 32504
Psychiatry & Neurology (Neurology)
5153 N 9TH AVE
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.

What insurance does Theresa Roca accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 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.