DR. JEFFREY C ROACH (M.D.) – Otolaryngology Physician, NPI 1861425811

DR. JEFFREY C ROACH (M.D.) is a healthcare provider. based in Cambridge, Massachusetts. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 213496 (MA). The NPI Number for DR. JEFFREY C ROACH (M.D.) is 1861425811

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY C ROACH (M.D.)
NPI
1861425811
Phone
(616) 354-1010
Address
300 MOUNT AUBURN ST
Enumeration Date
9 July 2006
Last Update Date
26 September 2011

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6173541010
Graduation Year
1997 (29 years ago)
PAC ID
9436044625
Group Practice PAC ID
6406956853
Professional Enrollment ID
I20040217000647
Address ID
MA021385665CA300XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in MA

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Provider Addresses for DR. JEFFREY C ROACH (M.D.)

  • 300, Mount Auburn Street, Old Cambridge, Cambridge, Middlesex County, Massachusetts, 02138, United States

    SUITE 308

    CAMBRIDGE, MA 021385600

    Phone: (616) 354-1010

    Fax: (617) 354-7961

    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 5 Open Payments records for all available years, with a total value of $409.

Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($279).

Total Amount

$409

General + Research + Ownership

Payments

5

Total payment records

General Amount

$409

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2004-02-17

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
I20040217000647IOtolaryngologyMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes668386$0
69210Removal of impacted ear wax600344$0
92557Comprehensive hearing and speech recognition test183174$0
99203New patient office or other outpatient visit, 30-44 minutes178178$0
92567Test to assess middle ear function158153$0
View full utilization report →

Insurance plans in this area (ZIP 02138)

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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: 6406956853View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMA
O T O L A R Y N G O L O G YMA
Physician AssistantMA
O T O L A R Y N G O L O G YMA

Reviews

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Frequently asked questions

How do payers reference DR. JEFFREY C ROACH (M.D.)?
For DR. JEFFREY C ROACH (M.D.), use NPI 1861425811 as the unique 10-digit identifier.
Is there an active status for DR. JEFFREY C ROACH (M.D.)?
For scheduling context, DR. JEFFREY C ROACH (M.D.) is shown as active in the registry.
What clinical focus is listed for DR. JEFFREY C ROACH (M.D.)?
At a glance, DR. JEFFREY C ROACH (M.D.) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JEFFREY C ROACH (M.D.)?
Travel planning: use Cambridge, Massachusetts as the reference point for DR. JEFFREY C ROACH (M.D.), then confirm.
Does DR. JEFFREY C ROACH (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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