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DR. MELVIN ROAT M.D.
NPI 1881681278
Ophthalmology in Media, PA

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1098 W BALTIMORE PIKE STE 3407, MEDIA, PA 19063(610) 566-7127(610) 566-0793 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, Aug 13, 2024, Jul 29, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Melvin Roat M.d. NPPES

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

DR. MELVIN ROAT M.D. (NPI 1881681278) is an individual ophthalmology provider in Media, Pennsylvania, licensed in Pennsylvania (MD033859E) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1881681278
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MELVIN ROATCredential: M.D.
Location Address1098 W BALTIMORE PIKE STE 3407Media, PA 19063-5139
Mailing Address1019 Stanford DrWynnewood, PA 19096-2031 · (610) 446-2260 · Fax (610) 446-3360
Phone(610) 566-7127
Fax(610) 566-0793
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateSeptember 30, 2005
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1881681278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD033859E
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.
1098 W BALTIMORE PIKE STE 3407, Media, PA 19063
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Secondary Practice Locations 2

Location 11098 W Baltimore Pike Ste 3405Media, PA 19063-5139 · Phone (610) 645-5755 · Fax (610) 566-1744
Location 22010 W Chester Pike Ste 310Havertown, PA 19083-2737 · Phone (610) 446-2260 · Fax (610) 446-3360

Other Identifiers 4

Other0000 1930655PA · United Healthcare
Other1151931PA · Aetna Hmo
Other2632612000PA · Keystone
Other524894PA · Medicare Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Dr. Melvin Roat 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 ID3779488333
PECOS Enrollment IDI20031205000405
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 Billing Reassignments

2

Medicare enrollment records show Melvin Roat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richard L Jahnle MD PC
6.8 mi
Ophthalmology
2010 W CHESTER PIKE, WELLNESS CENTER; SUITE 310
Havertown, PA 19083
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1689949067 (610) 446-2260
Wills Eye Ophthalmology Clinic, Inc
15 mi
Ophthalmology
840 WALNUT ST, SUITE 1230
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 230 clinicians in this Medicare group
NPI 1184624009 (215) 928-3041

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
1,253 services591 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.
474 services245 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.
210 services207 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).
198 services196 patients
Ultrasound scan of cornea to determine thickness 76514
An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.
118 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
74%125 patients4/55-star benchmark: 87%
Diabetes: Eye Exam
100%197 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,100 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
93%312 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
0%271 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
98%108 patients
Provide Patients Electronic Access to Their Health Information
98%715 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,073 patients
Patients totalRate: 0% · 1,073 patients
0%1,073 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.

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 Melvin Roat's NPI number?

The NPI number for Melvin Roat is 1881681278. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Melvin Roat located?

Melvin Roat practices at 1098 W Baltimore Pike Ste 3407, Media, PA 19063. The listed phone number is (610) 566-7127.

What is Melvin Roat's specialty?

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

Is Melvin Roat enrolled in Medicare?

Yes. Melvin Roat 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 Melvin Roat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Roat reassigns Medicare benefits to 2 organizations: Richard L Jahnle MD PC (Havertown, PA) and Wills Eye Ophthalmology Clinic, Inc (Philadelphia, PA). 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 Melvin Roat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melvin Roat accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list Melvin Roat 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 Melvin Roat was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.