Active NPI 1346200896 Individual Practitioner Female Practitioner

Kristina O Roach , PA

Physician Assistant • Winchester, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kristina Roach, PA is a certified Physician Assistant practicing in Winchester, VA. With approximately 30 years of clinical experience since completing medical education in 1996, Kristina Roach delivers high-quality medical care to the local community at 1870 AMHERST ST STE 2B.

Kristina Roach maintains professional affiliations with Valley Physician Enterprise Inc, Winchester Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1870 Amherst St Ste 2b

Winchester, VA 226012841

Telephone 5405362790

Fax 5405362791

Associated Practice Facility / Clinic

🏢 Winchester Medical Center Facility NPI 1902697568

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winchester, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +21.1 yrs vs City Avg

City Avg: 8.9 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

217 Specialists

Practicing in Winchester, VA (4432 Statewide)

Telehealth Adoption Rate

10.6% 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. Roach (30 Years) 30 Yrs

Winchester Specialty Average (8.9 Years) 8.9 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
69210 Removal of impacted ear wax	351	244	$132.00	$38.39
99213 Established patient office or other outpatient visit, typically 15 minutes	178	131	$250.00	$74.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	65	$353.00	$101.80
31575 Diagnostic exam of voice box using a flexible endoscope	70	62	$362.00	$105.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$309.00	$92.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$460.00	$134.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$156.00	$44.62
30901 Simple control of nose bleed	12	12	$484.25	$128.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	261	189	$132.00	$38.98
99213 Established patient office or other outpatient visit, typically 15 minutes	152	126	$250.00	$74.85
31575 Diagnostic exam of voice box using a flexible endoscope	50	43	$362.00	$110.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$309.00	$94.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$353.00	$107.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$156.00	$47.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$460.00	$140.30
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$201.00	$61.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	181	140	$227.13	$77.67
69210 Removal of impacted ear wax	174	142	$121.61	$39.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$286.22	$95.55
31575 Diagnostic exam of voice box using a flexible endoscope	41	40	$345.10	$112.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	29	$135.41	$48.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$280.90	$110.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$403.37	$143.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	174	132	$106.99	$40.05
99213 Established patient office or other outpatient visit, typically 15 minutes	153	105	$149.00	$77.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$217.00	$95.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	39	$91.00	$48.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$330.00	$143.44
31575 Diagnostic exam of voice box using a flexible endoscope	30	27	$235.00	$110.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$218.00	$110.84
30901 Simple control of nose bleed	13	11	$278.00	$136.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	471	362	$90.15	$41.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$170.52	$92.65
99213 Established patient office or other outpatient visit, typically 15 minutes	171	149	$115.20	$64.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	61	$70.00	$39.18
31575 Diagnostic exam of voice box using a flexible endoscope	34	34	$268.97	$106.50
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	19	18	$90.00	$43.67
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$123.67	$65.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	604	394	$90.00	$39.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	366	366	$170.00	$91.13
99213 Established patient office or other outpatient visit, typically 15 minutes	243	203	$115.00	$62.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	63	$70.00	$37.91
31575 Diagnostic exam of voice box using a flexible endoscope	59	58	$270.00	$98.56
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	20	20	$90.00	$41.74
69200 Removal of foreign body from ear canal	14	11	$215.00	$69.25
30901 Simple control of nose bleed	14	14	$190.00	$116.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	522	325	$90.00	$40.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	197	197	$170.00	$89.15
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$115.00	$60.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$70.00	$36.22
31575 Diagnostic exam of voice box using a flexible endoscope	17	17	$270.00	$93.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	414	282	$90.00	$40.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$170.00	$88.71
31575 Diagnostic exam of voice box using a flexible endoscope	20	20	$270.00	$93.70
30901 Simple control of nose bleed	12	12	$190.00	$78.20

Medical Specialties & State Licenses

CMS Verified: 2020-11-25

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110840646

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1346200896 (VA)

Commercial Insurance / Payer ID Medicare Pin (Old)

007008S71 (VA)

Commercial Insurance / Payer ID Medicare Rr

P00734696 (VA)

Hospital & Practice Group Affiliations

Valley Physician Enterprise Inc

1000 N Shenandoah Ave, Front Royal, VA 226303547

Phone: 5406360300

Winchester Medical Center

519 W Jubal Early Dr, Winchester, VA 226016519

Winchester Medical Center

1880 Amherst St, Winchester, VA 226012808

Phone: 5405366721

Valley Physician Enterprise Inc

519 W Jubal Early Dr, Winchester, VA 226016519

Winchester Medical Center

1840 Amherst St, Winchester, VA 226012808

Phone: 5405368700

Practice Associates & Co-Workers

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

4 Associated Practitioners

Kelly Wooten-Pilson , MED, CCC-A

Audiologist-Hearing Aid Fitter

NPI 1427252782

Master of Education, CCCA

Dr. Ingrid Iwanow , MD

Otolaryngology

NPI 1689769416

Doctor of Medicine (M.D.)

Dr. James Salata , MD

Otolaryngology

NPI 1871553446

Doctor of Medicine (M.D.)

Robert Reed

Otolaryngology

NPI 1962822304

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 25, 2020

Registered at 1870 AMHERST ST STE 2B, WINCHESTER, VA 226012841 (Tel: 5405362790)

📍

Updated Business Mailing Address November 25, 2020

Registered at 220 CAMPUS BLVD STE 100, WINCHESTER, VA 226012896 (Tel: 5405365100)

✅

NPI Profile Active September 10, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2009

Registered at 142 LINDEN DRIVE, SUITE 106, WINCHESTER, VA 22601 (Tel: 5407227282)

📍

Updated Business Mailing Address September 10, 2009

Registered at 142 LINDEN DRIVE, SUITE 106, WINCHESTER, VA 22601 (Tel: 5407227282)

👤

Provider Name / Credentials Updated September 10, 2009

Recorded as KRISTINA ROACH, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2009

Physician Assistant (License #0110840646 in VA)

🟢

Initial NPI Registration & Enumeration March 27, 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: 1346200896

Entity Type:

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

Enumeration Date: March 27, 2006

Last Update: November 25, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

220 Campus Blvd Ste 100

Winchester, VA 226012896

Phone: 5405365100

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.