DR. ALEXANDER SANDOR ROKA M.D., P.A.
NPI 1982602264
Family Medicine in San Antonio, TX

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
98.28/100
CMS Quality Rating
20658 STONE OAK PKWY, STE. 108, SAN ANTONIO, TX 78258(210) 403-3220(210) 403-3221 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Alexander Sandor Roka M.d., P.a. NPPES

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

DR. ALEXANDER SANDOR ROKA M.D., P.A. (NPI 1982602264) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (K6272) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1982602264
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALEXANDER SANDOR ROKACredential: M.D., P.A.
Location Address20658 STONE OAK PKWY, STE. 108San Antonio, TX 78258-7344
Mailing Address20658 Stone Oak Pkwy, Suite 108San Antonio, TX 78258-7344 · (210) 403-3220 · Fax (210) 403-3221
Fax(210) 403-3221
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 12, 2005
Last NPPES UpdateJune 26, 2024
NPPES CertifiedJune 26, 2024
NPI 1982602264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · K6272
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

20658 STONE OAK PKWY, San Antonio, TX 78258

Secondary Practice Location 1

Location 17333 Barlite Blvd Ste 380San Antonio, TX 78224-1359 · Phone (210) 403-3220

Other Identifiers 1

Other0009EJTX · Blue Cross Blue Shield

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

Dr. Alexander Sandor Roka M.d., P.a. 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 ID2365438256
PECOS Enrollment IDI20040424000399
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 29

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.
1,107 services466 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.
938 services455 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.
373 services373 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
137 services132 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
118 services118 patients
Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975
This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.
117 services117 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

98.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.1
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
98%755 patients5/55-star benchmark: 93%
Documentation of Current Medications in the Medical Record
100%14,229 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%3,657 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%4,651 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 3,489 patients
Patients screened: 100% · 3,197 patients
100%51 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,140 patients
0%1,140 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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
7 suppliers22 claims75 services$5.41 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims16 services$1.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers17 claims46 services$11.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers17 claims17 services$35.50 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers12 claims12 services$11.38 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$6.77 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 4

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

Family Medicine
20658 STONE OAK PKWY, STE 108
SAN ANTONIO, TX 78258
Nurse Practitioner (Family)
20658 STONE OAK PKWY
SAN ANTONIO, TX 78258
Internal Medicine
20658 STONE OAK PKWY, #108
SAN ANTONIO, TX 78258
Nurse Practitioner
20658 STONE OAK PKWY, SUITE 108
SAN ANTONIO, TX 78258

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 Alexander Roka's NPI number?

The NPI number for Alexander Roka is 1982602264. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Alexander Roka located?

Alexander Roka practices at 20658 Stone Oak Pkwy Ste. 108, San Antonio, TX 78258. The listed phone number is (210) 403-3220.

What is Alexander Roka's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alexander Roka enrolled in Medicare?

Yes. Alexander Roka 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 Alexander Roka accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Alexander Roka 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 Alexander Roka affiliated with any hospitals?

According to CMS data, Alexander Roka is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Alexander Roka was last updated on June 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.