Active NPI 1861425811 Individual Practitioner Male Practitioner

Dr. Jeffrey C Roach , MD

Otolaryngology • Cambridge, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Roach, MD is a certified Otolaryngology practicing in Cambridge, MA. With approximately 29 years of clinical experience since graduating from Georgetown University School Of Medicine in 1997, Dr. Roach delivers high-quality medical care to the local community at 300 MOUNT AUBURN ST.

Dr. Roach is affiliated with Cambridge Otolaryngology and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of impacted ear wax, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Mount Auburn St
Suite 308

Cambridge, MA 021385600

Telephone 6163541010

Fax 6173547961

Associated Practice Facility / Clinic

🏢 Cambridge Urological Associates, Inc. Facility NPI 1164421467

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Cambridge, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +3.7 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Cambridge, MA (388 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roach (29 Years) 29 Yrs

Cambridge Specialty Average (25.3 Years) 25.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	631	387	$230.14	$99.31
69210 Removal of impacted ear wax	624	356	$135.00	$50.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	201	201	$320.00	$120.99
92557 Comprehensive hearing and speech recognition test	193	179	$115.00	$39.41
92567 Eardrum testing using ear probe	183	176	$70.00	$18.06
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	119	118	$135.00	$57.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	66	$310.00	$139.52
31575 Diagnostic exam of voice box using a flexible endoscope	76	64	$360.00	$145.78
31231 Diagnostic examination of nasal passages using an endoscope	72	60	$510.00	$212.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$395.00	$181.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	668	386	$230.00	$99.61
69210 Removal of impacted ear wax	600	344	$135.00	$51.18
92557 Comprehensive hearing and speech recognition test	183	174	$115.00	$40.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	178	178	$320.00	$123.27
92567 Eardrum testing using ear probe	158	153	$70.00	$18.47
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	117	117	$135.00	$58.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	103	85	$310.83	$140.32
31231 Diagnostic examination of nasal passages using an endoscope	94	66	$510.00	$220.81
31575 Diagnostic exam of voice box using a flexible endoscope	56	47	$360.00	$150.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$395.00	$182.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	615	369	$230.44	$101.48
69210 Removal of impacted ear wax	582	331	$124.21	$52.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	213	213	$320.00	$125.12
92567 Eardrum testing using ear probe	196	189	$70.00	$19.02
92557 Comprehensive hearing and speech recognition test	195	188	$115.00	$42.10
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	127	125	$123.03	$57.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	80	$311.09	$142.99
31231 Diagnostic examination of nasal passages using an endoscope	66	58	$510.00	$225.69
31575 Diagnostic exam of voice box using a flexible endoscope	41	40	$360.00	$152.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$375.00	$185.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	527	298	$208.29	$102.99
69210 Removal of impacted ear wax	525	275	$113.06	$52.35
92557 Comprehensive hearing and speech recognition test	114	105	$115.00	$43.29
92567 Eardrum testing using ear probe	110	101	$70.00	$18.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$293.60	$126.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	82	$291.89	$145.75
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	70	69	$113.29	$55.64
31575 Diagnostic exam of voice box using a flexible endoscope	45	41	$333.56	$151.14
31231 Diagnostic examination of nasal passages using an endoscope	34	27	$510.00	$235.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$350.00	$187.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	406	223	$95.10	$51.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	394	233	$259.59	$122.10
99213 Established patient office or other outpatient visit, typically 15 minutes	121	65	$167.96	$84.52
92567 Eardrum testing using ear probe	110	102	$70.00	$18.11
92557 Comprehensive hearing and speech recognition test	109	101	$115.00	$42.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$239.91	$121.12
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	79	78	$95.00	$56.07
31231 Diagnostic examination of nasal passages using an endoscope	49	36	$508.29	$227.36
31575 Diagnostic exam of voice box using a flexible endoscope	30	25	$274.47	$143.44

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	513	261	$244.13	$119.91
69210 Removal of impacted ear wax	424	237	$90.45	$51.35
99213 Established patient office or other outpatient visit, typically 15 minutes	137	68	$160.07	$82.24
92557 Comprehensive hearing and speech recognition test	131	119	$115.00	$41.98
92567 Eardrum testing using ear probe	129	117	$70.00	$16.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$239.89	$118.99
31231 Diagnostic examination of nasal passages using an endoscope	109	62	$464.68	$231.77
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	90	82	$89.33	$54.42
31575 Diagnostic exam of voice box using a flexible endoscope	42	38	$259.90	$133.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$400.00	$217.27

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	444	256	$224.17	$118.93
69210 Removal of impacted ear wax	364	208	$85.20	$53.63
92557 Comprehensive hearing and speech recognition test	166	153	$115.00	$41.51
92567 Eardrum testing using ear probe	165	152	$70.00	$16.07
99213 Established patient office or other outpatient visit, typically 15 minutes	133	79	$160.02	$80.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	122	122	$233.54	$119.48
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	96	96	$85.00	$57.14
31231 Diagnostic examination of nasal passages using an endoscope	76	43	$424.11	$242.65
31575 Diagnostic exam of voice box using a flexible endoscope	61	54	$245.46	$128.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$290.00	$181.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$400.00	$218.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	382	218	$84.95	$53.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	201	$206.39	$116.57
99213 Established patient office or other outpatient visit, typically 15 minutes	189	132	$160.00	$79.53
92567 Eardrum testing using ear probe	147	142	$70.00	$15.81
92557 Comprehensive hearing and speech recognition test	145	140	$115.00	$40.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$210.98	$117.25
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	93	89	$85.00	$57.55
31231 Diagnostic examination of nasal passages using an endoscope	80	55	$391.25	$237.45
31575 Diagnostic exam of voice box using a flexible endoscope	54	45	$254.07	$126.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$296.98	$176.60

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License MA 213496

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0195871 (MA)

Hospital & Practice Group Affiliations

Cambridge Otolaryngology

300 Mount Auburn St, Cambridge, MA 021385600

Cambridge Otolaryngology

300 Mount Auburn St, Cambridge, MA 021385665

Phone: 6173541010

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Christian Soneru , MD

Otolaryngology

NPI 1417272410

Doctor of Medicine (M.D.)

Dr. Lawrence Mambrino , MD

Otolaryngology

NPI 1508845017

Doctor of Medicine (M.D.)

Dr. Richard Hillel , MD

Otolaryngology

NPI 1548249048

Doctor of Medicine (M.D.)

Dr. James Spencer , MD

Otolaryngology

NPI 1740417492

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 26, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 26, 2011

Registered at 300 MOUNT AUBURN ST, SUITE 308, CAMBRIDGE, MA 021385600 (Tel: 6163541010)

📍

Updated Business Mailing Address September 26, 2011

Registered at 300 MOUNT AUBURN ST, SUITE 308, CAMBRIDGE, MA 021385600

👤

Provider Name / Credentials Updated September 26, 2011

Recorded as JEFFREY ROACH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2011

Otolaryngology (License #213496 in MA)

🟢

Initial NPI Registration & Enumeration July 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861425811

Entity Type:

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

Enumeration Date: July 09, 2006

Last Update: September 26, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

300 Mount Auburn St, Suite 308

Cambridge, MA 021385600

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.