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Active NPI 1164493748 Individual Practitioner Male Practitioner

Dr. James J. Roche , MD

Surgery • Scranton, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Roche, MD is a certified Surgery practicing in Scranton, PA. With approximately 40 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1986, Dr. Roche delivers high-quality medical care to the local community at 225 PENN AVE.

Dr. Roche is affiliated with Lehigh Valley Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound of both sides of head and neck blood flow, ultrasound study of arm or leg veins with compression and maneuvers, ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Penn Ave

Scranton, PA 185031921

Telephone 5703421643
Fax 5703427119
Associated Practice Facility / Clinic
🏢 Lehigh Valley Physician Group Facility NPI 1457309650

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Scranton, PA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +17.4 yrs vs City Avg
City Avg: 22.6 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Scranton, PA (1976 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roche (40 Years) 40 Yrs
Scranton Specialty Average (22.6 Years) 22.6 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
93880 Ultrasound of both sides of head and neck blood flow
150 148 $302.10 $35.89
93970 Ultrasound study of arm or leg veins with compression and maneuvers
147 142 $142.79 $30.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
118 111 $72.50 $19.25
99213 Established patient office or other outpatient visit, typically 15 minutes
109 86 $180.00 $84.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
79 79 $325.00 $158.47
93880 Ultrasound of both sides of head and neck blood flow
74 71 $703.78 $168.57
93925 Ultrasound of leg arteries or artery grafts
60 59 $590.00 $215.10
93923 Complete ultrasound study of arm and leg arteries
58 56 $488.62 $91.89
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
52 49 $512.79 $149.80
93970 Ultrasound study of arm or leg veins with compression and maneuvers
51 48 $523.24 $167.87
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
41 36 $551.83 $105.75
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
40 40 $109.00 $35.02
93925 Ultrasound of leg arteries or artery grafts
40 40 $118.00 $34.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes
40 21 $155.00 $43.44
93926 Ultrasound of one leg arteries or artery grafts
33 30 $542.27 $103.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
33 32 $300.00 $116.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31 31 $220.00 $105.44
36569 Insertion of central venous catheter for infusion, patient 5 years or older
22 19 $700.00 $88.91
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
20 20 $312.50 $51.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 19 $250.00 $121.54
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow
16 16 $636.88 $242.93
93990 Ultrasound of dialysis access
15 12 $436.67 $119.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
14 14 $395.00 $164.05

Medical Specialties & State Licenses

CMS Verified: 2022-01-27
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD043662L

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0012453490001 (PA)

Hospital & Practice Group Affiliations

Lehigh Valley Physician Group

1240 S Cedar Crest Blvd, Allentown, PA 181036373

Phone: 6104021350

Secondary Practice Locations

300 Lackawanna Ave Ste 200

Scranton, PA 185032001

Phone: 5703427864

Practice Associates & Co-Workers

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

3 Associated Practitioners
Beverly Tomasetti , NP

Nurse Practitioner - Adult Health

NPI 1700901170

Nurse Practitioner

NPI 1811968621

Doctor of Medicine (M.D.)

Robert Concini , PA-C

Physician Assistant - Medical

NPI 1982675401

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address January 27, 2022

Registered at PO BOX 783311, PHILADELPHIA, PA 191783311 (Tel: 4848844500)

NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2014

Registered at 225 PENN AVE, SCRANTON, PA 185031921 (Tel: 5703421643)

📍
Updated Business Mailing Address October 17, 2014

Registered at 225 PENN AVE, SCRANTON, PA 185031921 (Tel: 5703427864)

👤
Provider Name / Credentials Updated October 17, 2014

Recorded as JAMES ROCHE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Surgery (License #MD043662L in PA)

🟢
Initial NPI Registration & Enumeration January 31, 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: 1164493748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: January 27, 2022
Sole Proprietor: No

Mailing Address

Po Box 783311

Philadelphia, PA 191783311

Phone: 4848844500

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.