DR. RICHMOND EMMERSON ROESKE (M.D.) – Ophthalmology Physician, NPI 1720009913

DR. RICHMOND EMMERSON ROESKE (M.D.) is a healthcare provider. based in Upland, California. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. A64048 (CA). The NPI Number for DR. RICHMOND EMMERSON ROESKE (M.D.) is 1720009913

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHMOND EMMERSON ROESKE (M.D.)
NPI
1720009913
Phone
(909) 982-8846
Address
555 N 13TH AVE
Enumeration Date
22 July 2006
Last Update Date
2 May 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9099828846
Graduation Year
1996 (30 years ago)
PAC ID
3779551882
Group Practice PAC ID
7911966122
Professional Enrollment ID
I20040917000407
Address ID
CA917864904UP555XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,665 OPHTHALMOLOGY in CA

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Provider Addresses for DR. RICHMOND EMMERSON ROESKE (M.D.)

  • 555, North 13th Avenue, Upland, San Bernardino County, California, 91786, United States

    UPLAND, CA 917864904

    Phone: (909) 982-8846

    Fax: (909) 949-3967

    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 96 Open Payments records for all available years, with a total value of $6,307.

Total Amount is formed as General ($6,307) + Research ($0) + Ownership ($0) = $6,307.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Alcon Vision LLC ($2,607).

Total Amount

$6,307

General + Research + Ownership

Payments

96

Total payment records

General Amount

$6,307

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2004-09-17

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
I20040917000407IOphthalmologyCATBD

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
92012Established patient problem focused exam of visual system619375$0
92014Established patient complete exam of visual system456417$0
68761Closure of tear duct opening using plug387237$0
66821Removal of recurring cataract in lens capsule using a laser218149$0
92004New patient complete exam of visual system198198$0
View full utilization report →

Insurance plans in this area (ZIP 91786)

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Provider's Procedures

DR. RICHMOND EMMERSON ROESKE (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYCA92012Eye and medical examination for diagnosis and treatment, established patient620455
OPHTHALMOLOGYCA92083Measurement of field of vision during daylight conditions242237
OPHTHALMOLOGYCA92134Diagnostic imaging of retina9792

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: 7911966122View full group profile
NameSpecialtyState
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YNJ
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YPA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. RICHMOND EMMERSON ROESKE (M.D.)?
NPI 1720009913 is assigned to DR. RICHMOND EMMERSON ROESKE (M.D.) under the national enumeration system.
Is DR. RICHMOND EMMERSON ROESKE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. RICHMOND EMMERSON ROESKE (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. RICHMOND EMMERSON ROESKE (M.D.) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. RICHMOND EMMERSON ROESKE (M.D.)?
We surface Upland, California for DR. RICHMOND EMMERSON ROESKE (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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