JOHN ROCHE (M.D.) – Otolaryngology Physician, NPI 1205837689
Otolaryngology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
428 OTOLARYNGOLOGY in MI
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Provider Addresses for JOHN ROCHE (M.D.)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 495032560
Phone:
Type: Mailing
Lake Drive Southeast, Third Ward, Grand Rapids, Kent County, Michigan, 49546, United States
GRAND RAPIDS, MI 495468816
Phone: (616) 267-7758
Type: Location
2311 DELANEY AVE
WILMINGTON, NC 284036012
Phone: (910) 762-8754
Fax: (910) 762-0778
Type: Mailing
8115 Market St Ste 200
Wilmington, NC 284118430
Phone: (910) 681-1488
Fax: (910) 762-0778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $999.
Total Amount is formed as General ($999) + Research ($0) + Ownership ($0) = $999.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($538).
Total Amount
$999
General + Research + Ownership
Payments
18
Total payment records
General Amount
$999
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Inspire Medical Systems, Inc. | $538 |
| Integra LifeSciences Corporation | $204 |
| Medtronic, Inc. | $123 |
| Hologic Sales and Service, LLC | $62 |
| Optinose US, Inc. | $43 |
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: 2025-07-18
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 |
|---|---|---|---|---|
| I20240805004238 | I | Otolaryngology | FL | TBD |
| I20250718000478 | I | Otolaryngology | NC | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 65 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 43 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 19 | 19 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 49503)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OTOLARYNGOLOGY | VA | 95117 | Injection of incremental dosages of allergen, 2 or more injections | 174 | 40 |
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | IL | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| - | MI | |
| Vascular Surgery | IL | |
| - | MI | |
| - | MI | |
| A N E S T H E S I O L O G Y | TX | |
| Clinical Social Worker | MI |
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