Elisabeth Jean Roche , NP-C
Nurse Practitioner โข Worcester, MA
55 Lake Ave N
Worcester, MA 016550001
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Elisabeth Roche is listed in NPPES under Nurse Practitioner.
-
NPI assigned on July 30, 2019; this date does not establish years in practice.
-
Published CMS data list 165 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Published rows only; this is not a quality measure.
-
Published Part B service records, 2021:
- 99214 โ Established patient outpatient office visit: 46 service units.
- 99213 โ Established patient outpatient office visit: 43 service units.
- 99215 โ Established patient outpatient office visit: 36 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 35 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Chlorhexidine Gluconate โ 18 prescription fills, including refills.
- Mupirocin โ 17 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
-
Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Worcester, MA (2024, 196 clinicians with data). Median for this group: 229. Middle half: 57 to 659.
Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: 330. Middle half: 89 to 1,072.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 135 in 2020 to 165 in 2021.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2021.
Practice Location & Contact Primary Location
55 Lake Ave N
Worcester, MA 016550001
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $11,229 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
Paid by Medicare
About $7,065 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021.
30-day fills
35 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$152 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $69.71 in 2024
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2024.
NPI first issued
2019
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Elisabeth Roche has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Elisabeth Roche as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Worcester and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Worcester, MA (2024, 196 clinicians with data). Median for this group: 229. Middle half: 57 to 659.
Fewer Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: 330. Middle half: 89 to 1,072.
Part D drug cost
A lower Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Worcester, MA (2024, 196 clinicians with data). Median for this group: $17,316. Middle half: $1,028 to $83,921.
A lower Part D drug cost than 90% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: $25,224. Middle half: $1,758 to $161,316.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Elisabeth Roche are from 2021.
499 active clinicians are listed under Nurse Practitioner with a practice address in Worcester, MA (3,483 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Worcester
17.8% of these 499 clinicians have the CMS telehealth indicator.
57.7% of these 499 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services increased 22% from 135 in 2020 to 165 in 2021.
- 2020: 135
- 2021: 165
-
Medicare-allowed amount
Medicare-allowed amount increased 21% from $9,306 in 2020 to $11,229 in 2021.
- 2020: $9,306
- 2021: $11,229
-
Paid by Medicare
Paid by Medicare stayed about the same: $7,252 in 2020 and $7,065 in 2021.
- 2020: $7,252
- 2021: $7,065
-
Medicare Part D prescriptions
Medicare Part D prescriptions went from 18 in 2020 to 35 in 2024.
- 2020: 18
- 2021: 44
- 2022: 34
- 2023: 56
- 2024: 35
-
30-day fills
30-day fills varied from year to year: 38 in 2020 and 35 in 2024.
- 2020: 38
- 2021: 112
- 2022: 34
- 2023: 56
- 2024: 35
-
Part D drug cost
Part D drug cost went from $210 in 2020 to $152 in 2024.
- 2020: $210
- 2021: $1,152
- 2022: $219
- 2023: $301
- 2024: $152
-
Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2024 only.
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $69.71.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Inspire Medical Systems, Inc. |
Food and Beverage
In-kind items and services
|
INSPIRE | General | $69.71 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2020โ2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | 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
|
46 | 44 | $353.39 | $67.09 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
43 | 38 | $237.02 | $64.39 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
36 | 33 | $473.17 | $90.29 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
25 | 19 | $144.60 | $50.58 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
15 | 15 | $389.00 | $57.30 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Chlorhexidine Gluconate | Chlorhexidine Gluconate | 18 | 294 | $45.17 | 18 |
| Mupirocin | Mupirocin | 17 | 325 | $107.15 | 17 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-11-24NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20200429002213
MA
9133559438
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Nurse Practitioner
Internal Medicine
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Certified Nurse Practitioner
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 55 LAKE AVE N, WORCESTER, MA 016550001 (Tel: 5083342731)
Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)
Nurse Practitioner (license number reported to NPPES: MA RN2302454)
NPI status registered as active in NPPES database
Registered at 41 BURLINGTON MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817445100)
Registered at 21 HAWES RD, SUDBURY, MA 017761126 (Tel: 9784603376)
Recorded as ELISABETH ROCHE, NP-C
Registered Nurse (license number reported to NPPES: MA RN2302454)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Worcester
- Erin Murray, NP
- Shannon Korich, ANP
- Taniyah Quartey, CNP
- Michelle Dwyer, NP, AGACNP-BC
- Kristen Belin, NP
- Nicole Parker, FNP-BC
Mailing Address
Po Box 415348
Boston, MA 022415348
Phone: 8002258885