M CAREY III ROACH (MD) – Internal Medicine Physician, NPI 1922005974

M CAREY III ROACH (MD) is a healthcare provider. based in Little rock, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E2521 (AR). The NPI Number for M CAREY III ROACH (MD) is 1922005974

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
M CAREY III ROACH (MD)
NPI
1922005974
Phone
(501) 224-5220
Address
11415 EXECUTIVE CENTER DR
Enumeration Date
6 July 2005
Last Update Date
16 August 2013

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
5012245220
Graduation Year
1996 (30 years ago)
PAC ID
0749200327
Group Practice PAC ID
0648256800
Professional Enrollment ID
I20051128000657
Address ID
AR722114489LI11415DRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

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Provider Addresses for M CAREY III ROACH (MD)

  • 11415, Executive Center Drive, Little Rock, Pulaski County, Arkansas, 72211, United States

    LITTLE ROCK, AR 72211

    Phone: (501) 224-5220

    Fax: (501) 228-9828

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 272 Open Payments records for all available years, with a total value of $4,115.

Total Amount is formed as General ($4,115) + Research ($0) + Ownership ($0) = $4,115.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($851).

Total Amount

$4,115

General + Research + Ownership

Payments

272

Total payment records

General Amount

$4,115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-11-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000657IInternal MedicineARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,059491$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit274274$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg26252$0
G0008Administration of influenza virus vaccine123123$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage121121$0
View full utilization report →

Insurance plans in this area (ZIP 72211)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648256800View full group profile

Reviews

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Frequently asked questions

What number should I use to identify M CAREY III ROACH (MD) for billing?
Administrative and clinical systems typically use NPI 1922005974 for M CAREY III ROACH (MD).
Is M CAREY III ROACH (MD)'s NPI status active today?
Active status means M CAREY III ROACH (MD)'s NPI record is not deactivated in the public file.
What type of care does M CAREY III ROACH (MD) provide?
M CAREY III ROACH (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to M CAREY III ROACH (MD)?
M CAREY III ROACH (MD) shows a connection to Little Rock, Arkansas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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