Active NPI 1376595199 Individual Practitioner Male Practitioner

Dr. Roque Manuel Arias , MD

General Practice • East Bend, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roque Arias, MD is a certified General Practice practicing in East Bend, NC. With approximately 44 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1982, Dr. Arias delivers high-quality medical care to the local community at 112 E MAIN ST.

Dr. Arias accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

112 E Main St

East Bend, NC 270186900

Telephone 3366992973

Fax 3366992974

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in East Bend, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

1 Specialists

Practicing in East Bend, NC (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

5.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Arias (44 Years) 44 Yrs

East Bend Specialty Average (44.0 Years) 44.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	29	$125.00	$120.19
36415 Insertion of needle into vein for collection of blood sample	57	32	$15.00	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	49	24	$78.67	$77.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	83	39	$15.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	35	$125.00	$121.36
99213 Established patient office or other outpatient visit, typically 15 minutes	29	17	$75.00	$73.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	12	$150.00	$148.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	88	38	$15.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	42	$125.00	$123.73
99213 Established patient office or other outpatient visit, typically 15 minutes	32	20	$75.00	$74.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	12	$151.32	$149.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	114	51	$15.00	$3.00
99213 Established patient office or other outpatient visit, typically 15 minutes	74	37	$75.00	$75.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	36	$125.00	$125.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	112	49	$75.00	$72.62
36415 Insertion of needle into vein for collection of blood sample	103	52	$15.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	35	$125.00	$105.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$104.81	$104.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	63	$75.00	$71.13
11042 Removal of skin and tissue, 20.0 sq cm or less	112	29	$110.00	$59.64
36415 Insertion of needle into vein for collection of blood sample	97	56	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	38	$125.00	$104.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$125.00	$73.38
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$75.00	$49.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$104.81	$102.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	170	27	$110.00	$55.95
99213 Established patient office or other outpatient visit, typically 15 minutes	149	58	$75.00	$66.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	44	$125.00	$97.67
36415 Insertion of needle into vein for collection of blood sample	56	24	$15.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$104.81	$101.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$175.00	$117.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	159	25	$110.00	$58.52
99213 Established patient office or other outpatient visit, typically 15 minutes	122	53	$75.00	$69.84
36415 Insertion of needle into vein for collection of blood sample	80	30	$15.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	36	$125.00	$102.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$104.81	$102.71
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$75.00	$49.27

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NC 32981

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8911707 (NC)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 23, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2010

Registered at 112 E MAIN ST, EAST BEND, NC 270186900 (Tel: 3366992973)

📍

Updated Business Mailing Address November 23, 2010

Registered at 112 E MAIN ST, EAST BEND, NC 270186900 (Tel: 3366992973)

👤

Provider Name / Credentials Updated November 23, 2010

Recorded as ROQUE ARIAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2010

General Practice (License #32981 in NC)

🟢

Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376595199

Entity Type:

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

Enumeration Date: May 17, 2006

Last Update: November 23, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

112 E Main St

East Bend, NC 270186900

Phone: 3366992973

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.