DR. KATHERINE W ROLLER (M.D.) – Family Medicine Physician, NPI 1093755563
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
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Provider Addresses for DR. KATHERINE W ROLLER (M.D.)
San Francisco, Province of Ambo, Huánuco, Peru
P.O. BOX 39000
SAN FRANCISCO, CA 941390001
Phone: (925) 952-2828
Fax: (925) 952-2850
Type: Mailing
1455, Montego, Walnut Creek, Contra Costa County, California, 94598, United States
SUITE 104
WALNUT CREEK, CA 945982990
Phone: (925) 946-1711
Fax: (925) 946-1902
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $222.
Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.
Last reported payment date: 2024-01-25 • Largest payer in this snapshot: Lilly USA, LLC ($156).
Total Amount
$222
General + Research + Ownership
Payments
6
Total payment records
General Amount
$222
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $156 |
| Novo Nordisk Inc | $42 |
| Organon LLC | $25 |
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: 2006-09-27
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 |
|---|---|---|---|---|
| I20060927000155 | I | Family Practice | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94139)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | DE | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Clinical Social Worker | CA | |
| Emergency Medicine | CA | |
| Family Practice | WA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| Nurse Practitioner | CA |
Reviews
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