BREEANA K ROCHE (PA) – Surgical Physician Assistant, NPI 1104074855
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for BREEANA K ROCHE (PA)
1108 Ross Clark Cir
Dothan, AL 363013022
Phone: (334) 793-8111
Type: Location
Southwest 65th Avenue, Tualatin, Metro, Washington County, Oregon, 97062, United States
TUALATIN, OR 97062
Phone: (503) 692-2032
Type: Location
Southeast Tech Center Place, Columbia Tech Center, Vancouver, Clark County, Washington, 98683, United States
VANCOUVER, WA 986835508
Phone: (360) 597-1309
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110303000428 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 129 | 69 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 128 | 74 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 119 | 71 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 64 | 55 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 39 | $0 |
Insurance plans in this area (ZIP 36301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | OR | |
| Medical Oncology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Radiation Oncology | WA | |
| Physician Assistant | CA | |
| General Surgery | WA | |
| - | WA | |
| Physician Assistant | OR | |
| Radiation Oncology | GA |
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