John Roche, M.D.
NPI 1205837689 · Otolaryngology Physician · Wilmington, NC
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Roche, M.D. is a Otolaryngology Physician provider in Wilmington, NC (NPI 1205837689).
Provider details
- NPI number
- 1205837689
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- ME165334 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
128 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 56 | $107 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 33 | $86 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 25 | $158 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 14 | $120 |
Typical Medicare-allowed amounts for these services range $86–$158 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 54 | 31 |
| Azelastine Hcl | 47 | 39 |
| Famotidine | 22 | — |
| Ofloxacin | 17 | 14 |
| Montelukast Sodium | 16 | — |
| Prednisone | 16 | 13 |
| Ipratropium Bromide | 14 | — |
| Hydrocodone/Acetaminophen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$721 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 8115 Market St Ste 200Wilmington, NC 28411-8430Phone: (910) 681-1488Fax: (910) 762-0778
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is John Roche's NPI number?
- John Roche's National Provider Identifier (NPI) is 1205837689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Roche's specialty?
- John Roche is listed in the NPPES registry with a primary specialty of Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is John Roche located?
- John Roche's practice location on file with NPPES is 2311 Delaney Ave, Wilmington, NC 28403-6012.
- What is John Roche's phone number?
- The practice phone number listed in the NPPES registry for John Roche is (910) 762-8754.
- Does John Roche accept Medicare?
- John Roche is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Roche's NPI active?
- Yes — John Roche's NPI (1205837689) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.