Active NPI 1275533549 Individual Practitioner Male Practitioner

Dr. Cesar M Roca , MD

Orthopaedic Surgery • Daphne, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Cesar Roca, MD is a certified Orthopaedic Surgery practicing in Daphne, AL. With approximately 40 years of clinical experience since graduating from Tulane University School Of Medicine in 1986, Dr. Roca delivers high-quality medical care to the local community at 1505 DAPHNE AVE.

Dr. Roca is affiliated with Baldwin Bone And Joint P C and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, x-ray of shoulder, minimum of 2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1505 Daphne Ave

Daphne, AL 365264298

Telephone 2516252663

Fax 2516253198

Associated Practice Facility / Clinic

🏢 Baldwin Bone & Joint P C Facility NPI 1790714459

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Daphne, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +10.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

3 Specialists

Practicing in Daphne, AL (368 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roca (40 Years) 40 Yrs

Daphne Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	1,240	24	$0.26	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	108	$235.87	$112.80
73030 X-ray of shoulder, minimum of 2 views	96	72	$92.43	$29.51
73010 X-ray of shoulder blade	85	66	$63.79	$20.30
99213 Established patient office or other outpatient visit, typically 15 minutes	56	40	$166.83	$79.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$307.00	$145.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	27	$39.15	$12.41
73562 X-ray of knee, 3 views	27	24	$108.18	$35.59
73130 X-ray of hand, minimum of 3 views	13	11	$98.33	$32.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	72	$175.63	$81.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	63	$263.74	$113.01
73010 X-ray of shoulder blade	82	64	$78.98	$20.68
73030 X-ray of shoulder, minimum of 2 views	82	65	$103.80	$29.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$330.19	$154.46
73562 X-ray of knee, 3 views	16	15	$113.45	$36.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	104	$143.00	$116.41
99213 Established patient office or other outpatient visit, typically 15 minutes	90	64	$100.00	$80.64
73030 X-ray of shoulder, minimum of 2 views	82	67	$115.76	$30.93
73010 X-ray of shoulder blade	75	65	$111.00	$21.45
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$6009.00	$1390.42
29827 Repair of shoulder rotator cuff using an endoscope	14	14	$2821.00	$903.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$205.00	$148.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$175.00	$138.35
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$3609.00	$159.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	106	$135.25	$120.27
99213 Established patient office or other outpatient visit, typically 15 minutes	116	80	$99.48	$85.85
73030 X-ray of shoulder, minimum of 2 views	95	74	$113.00	$30.89
73010 X-ray of shoulder blade	79	67	$111.00	$20.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$205.00	$161.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$140.00	$104.57
73630 X-ray of foot, minimum of 3 views	18	12	$116.00	$29.91
73562 X-ray of knee, 3 views	17	15	$112.00	$32.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$169.33	$135.27
73130 X-ray of hand, minimum of 3 views	14	11	$109.00	$33.53
29827 Repair of shoulder rotator cuff using an endoscope	13	13	$2821.00	$1041.63
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	12	$3609.00	$170.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	203	108	$90.00	$70.03
73030 X-ray of shoulder, minimum of 2 views	92	67	$113.00	$29.88
73010 X-ray of shoulder blade	69	56	$111.00	$25.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$140.00	$101.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	34	$117.00	$103.70
73110 X-ray of wrist, minimum of 3 views	27	13	$116.00	$35.57
73630 X-ray of foot, minimum of 3 views	23	15	$116.00	$30.15
73562 X-ray of knee, 3 views	20	19	$112.00	$35.84
73610 X-ray of ankle, minimum of 3 views	13	11	$116.00	$32.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	245	126	$90.00	$67.28
73030 X-ray of shoulder, minimum of 2 views	69	55	$112.51	$26.02
73010 X-ray of shoulder blade	54	45	$110.67	$28.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$139.33	$100.37
73562 X-ray of knee, 3 views	36	30	$111.56	$33.72
73630 X-ray of foot, minimum of 3 views	32	19	$115.06	$25.02
73130 X-ray of hand, minimum of 3 views	15	13	$108.33	$28.21
20610 Aspiration and/or injection of fluid from large joint	13	13	$138.00	$51.46
J1030 Injection, methylprednisolone acetate, 40 mg	12	12	$25.00	$5.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	238	122	$90.00	$67.38
73030 X-ray of shoulder, minimum of 2 views	74	52	$110.92	$25.42
73010 X-ray of shoulder blade	64	48	$108.91	$26.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$136.87	$96.48
73562 X-ray of knee, 3 views	37	28	$109.92	$30.59
73610 X-ray of ankle, minimum of 3 views	36	16	$112.89	$26.84
73110 X-ray of wrist, minimum of 3 views	31	14	$113.00	$30.61
73130 X-ray of hand, minimum of 3 views	25	16	$107.00	$27.60
73630 X-ray of foot, minimum of 3 views	25	15	$112.76	$25.50
20610 Aspiration and/or injection of fluid from large joint	20	16	$158.70	$59.80
A4565 Slings	17	14	$10.00	$8.52
J1030 Injection, methylprednisolone acetate, 40 mg	17	16	$25.00	$6.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$117.00	$100.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	139	$90.00	$66.04
73030 X-ray of shoulder, minimum of 2 views	66	48	$107.86	$25.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$132.34	$97.56
73010 X-ray of shoulder blade	59	46	$105.90	$26.03
73562 X-ray of knee, 3 views	51	38	$106.82	$32.24
73610 X-ray of ankle, minimum of 3 views	40	16	$110.90	$24.95
20610 Aspiration and/or injection of fluid from large joint	40	30	$144.90	$55.79
J1030 Injection, methylprednisolone acetate, 40 mg	36	29	$22.58	$5.40
73630 X-ray of foot, minimum of 3 views	33	23	$110.82	$24.71
73502 X-ray of hip, 2-3 views	16	13	$66.00	$35.79
73130 X-ray of hand, minimum of 3 views	15	11	$103.93	$24.02

Medical Specialties & State Licenses

CMS Verified: 2024-12-30

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License AL 24792

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

051552737 (AL)

Commercial Insurance / Payer ID Railroad Medicare

200045505

Hospital & Practice Group Affiliations

Baldwin Bone And Joint P C

1505 Daphne Ave, Daphne, AL 365264298

Phone: 2516252663

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners

Dr. Elliott Pennington , MD

Anesthesiology - Pain Medicine

NPI 1093203895

Doctor of Medicine (M.D.)

Dr. John Harcourt , MD

Family Medicine - Sports Medicine

NPI 1104917764

Doctor of Medicine (M.D.)

Elizabeth Luscher , CRNP

Nurse Practitioner

NPI 1154739548

Certified Registered Nurse Practitioner

Celeste Fleming , PA-C

Physician Assistant

NPI 1184875569

Physician Assistant (Certified)

Dawn Thomas , PT

Physical Therapist

NPI 1205087558

Physical Therapist

Taylor Lewis , OTR, L

Occupational Therapist

NPI 1225549215

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location December 30, 2024

Registered at 1505 DAPHNE AVE, DAPHNE, AL 365264298 (Tel: 2516252663)

📍

Updated Business Mailing Address December 30, 2024

Registered at 1505 DAPHNE AVE, DAPHNE, AL 365264298 (Tel: 2516252663)

✅

NPI Profile Active March 18, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2008

Registered at 3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 366081162 (Tel: 2514103600)

📍

Updated Business Mailing Address March 18, 2008

Registered at 3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 366081162 (Tel: 2514103600)

👤

Provider Name / Credentials Updated March 18, 2008

Recorded as CESAR ROCA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2008

Orthopaedic Surgery (License #24792 in AL)

🟢

Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Cesar Roca. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1275533549

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2005

Last Update: December 30, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1505 Daphne Ave

Daphne, AL 365264298

Phone: 2516252663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.