Michael James Roche, PA-C
NPI 1568415313ActiveIndividual· Physician Assistant· Greensboro, NC
Physician Assistant (PA-C) with Wake Spine and Pain Specialists PC and 1 other group, practicing in Greensboro, North Carolina. Their prescriptions cost Medicare Part D more than their services did: $217,384 for 2,652 claims, against $40,948 paid for services in 2024. Medtronic, Inc. was the largest of 7 companies reporting payments in 2025, $709.18 in all, mostly food and beverage.
Overview
| NPI | 1568415313 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Apr 24, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 0010-06005 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 591 across 14 procedure codes |
| Paid by Medicare | $40,948 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,652 · 2,796 30-day fills |
|---|---|
| Patients | 289 |
| Total drug cost | $217,384 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Wake Spine and Pain Specialists PCGreensboro, NC · 30 clinicians
- Rehab Medicine of the Carolinas PLLCClemmons, NC · 7 clinicians
Industry payments (Open Payments)
- 2025$709.18 · 16 payments from 7 companies
- 2024$377.62 · 16 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $211.35 | 2 |
| Collegium Pharmaceutical, Inc. | $138.96 | 5 |
| Vertex Pharmaceuticals Incorporated | $110.27 | 3 |
| Saluda Medical Americas, Inc. | $109.66 | 1 |
| Virtus Pharmaceuticals LLC | $59.46 | 3 |
What the 2025 payments were for
- Food and Beverage$709.18 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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