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ANTONIO BARIL ROA MD
NPI 1932137957
Family Medicine - Adult Medicine in Lake Placid, FL

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
201 US HIGHWAY 27 S, LAKE PLACID, FL 33852(863) 465-6200(863) 465-9217 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antonio Baril Roa Md NPPES

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

ANTONIO BARIL ROA MD (NPI 1932137957) is an individual adult medicine provider in Lake Placid, Florida, licensed in Florida (ME42772) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Sebring, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1932137957
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameANTONIO BARIL ROACredential: MD
Location Address201 US HIGHWAY 27 SLake Placid, FL 33852-7904
Mailing AddressPo Box 2829Lake Placid, FL 33862-2829 · (863) 465-6200 · Fax (863) 465-9217
Phone(863) 465-6200
Fax(863) 465-9217
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJune 29, 2006
Last NPPES UpdateJune 25, 2013
✔ NPI 1932137957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · ME42772
Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

201 US HIGHWAY 27 S, Lake Placid, FL 33852
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Other Identifiers 3

Medicare UPIN28123YFL
Medicare UPIND53491FL
Medicaid068294200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Antonio Baril Roa 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 ID3274513684
PECOS Enrollment IDI20040729000877
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 4

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, 30-39 minutes 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.
520 services205 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
100 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
New patient office or other outpatient visit, 45-59 minutes 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.
28 services28 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33852 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers40 claims108 services$6.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers28 claims41 services$1.08 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier13 claims1,950 services$1.67 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers11 claims1,440 services$0.09 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 2

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

A B ROA MEDICAL CENTER PA
General Practice
201 US HIGHWAY 27 S
LAKE PLACID, FL 33852
Highlands County (863) 465-6200
DR. BI ANG ZHENG MD
Family Medicine
201 US HIGHWAY 27 S
LAKE PLACID, FL 33852
Highlands County (634) 656-2008

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 Antonio Roa's NPI number?

The NPI number for Antonio Roa is 1932137957. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Antonio Roa located?

Antonio Roa practices at 201 Us Highway 27 S, Lake Placid, FL 33852. The listed phone number is (863) 465-6200.

What is Antonio Roa's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Antonio Roa enrolled in Medicare?

Yes. Antonio Roa 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 Antonio Roa accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., UnitedHealthcare and Wellpoint list Antonio Roa 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 Antonio Roa affiliated with any hospitals?

According to CMS data, Antonio Roa is affiliated with Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Antonio Roa was last updated on June 25, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.