DR. BRENT ALLEN ROACH (MD) – Diagnostic Radiology Physician, NPI 1154683357
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
69 INTERVENTIONAL PAIN MANAGEMENT in KY
Provider Addresses for DR. BRENT ALLEN ROACH (MD)
5129 DIXIE HWY STE 100
LOUISVILLE, KY 40216
Phone: (502) 447-8786
Fax: (502) 447-8623
Type: Location
4001 Dutchmans Ln # 276
Louisville, KY 402074714
Phone: (502) 447-8786
Type: Location
1 AUDUBON PLAZA DR
LOUISVILLE, KY 402171318
Phone: (502) 447-8786
Fax: (502) 447-8623
Type: Location
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: 2024-06-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180524002061 | I | Diagnostic Radiology | KY | TBD |
| I20240617003484 | I | Diagnostic Radiology | IN | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,094 | 866 | $0 |
| 70450 | Ct scan head or brain without contrast | 290 | 276 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 254 | 254 | $0 |
| 71046 | X-ray of chest, 2 views | 193 | 189 | $0 |
| 72125 | Ct scan of upper spine without contrast | 110 | 109 | $0 |
Insurance plans in this area (ZIP 40216)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Diagnostic Radiology | IN | |
| Diagnostic Radiology | MO | |
| Diagnostic Radiology | TN | |
| Diagnostic Radiology, Interventional Radiology | KY | |
| Diagnostic Radiology | KY | |
| Interventional Radiology, Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology | KY | |
| Diagnostic Radiology, Interventional Radiology | KY |
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