Medicare Enrolled

Dr. Niall Roche

Optician · Pleasanton, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
5565 W LAS POSITAS BLVD, Pleasanton, CA 94588
9259249100
In practice since 2006 (19 years)
NPI: 1194755918 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Roche from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Roche? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Roche

Dr. Niall Roche is an optician specialist in Pleasanton, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Roche performed 954 Medicare services across 255 unique beneficiaries.

Between the years covered by Open Payments, Dr. Roche received a total of $8,614 from 19 pharmaceutical and/or device companies across 285 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Roche is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 954 Medicare services $8,614 industry payments

Medicare Practice Summary

Medicare Utilization ↗
954
Medicare services
Bottom 46% in CA for optician
255
Unique beneficiaries
$113
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~50 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
 914 $111 $238
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
 24 $150 $497
New patient office visit, complex (60-74 min) 16 $175 $525
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,614
Total received (2018-2024)
Avg $1,231/year across 7 years
Top 16% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
19
Companies
285
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$5,249 (60.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$3,365 (39.1%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$3,691
2023
$1,094
2022
$798
2021
$731
2020
$614
2019
$1,023
2018
$663

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$3,365
UCB, Inc.
$240
Amgen Inc.
$66
Novartis Pharmaceuticals Corporation
$19
Top 3 companies account for 99.5% of 2024 payments
All-time payments by company (2018-2024) ›
Janssen Biotech, Inc.
$4,585
Amgen Inc.
$1,821
Novartis Pharmaceuticals Corporation
$639
AbbVie Inc.
$397
UCB, Inc.
$240
ABBVIE INC.
$168
PFIZER INC.
$159
Celgene Corporation
$154
Fresenius Kabi USA, LLC
$76
NOVARTIS PHARMACEUTICALS CORPORATION
$59
Horizon Pharma plc
$57
Horizon Therapeutics plc
$56
Takeda Pharmaceuticals U.S.A., Inc.
$44
AbbVie, Inc.
$43
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
E.R. Squibb & Sons, L.L.C.
$24
GlaxoSmithKline, LLC.
$23
Alexion Pharmaceuticals, Inc.
$23
Ironwood Pharmaceuticals, Inc
$18
Top 3 companies account for 81.8% of all-time payments
Associated products mentioned in payments ›
AVSOLA · BENLYSTA · COSENTYX · Cimzia · DUZALLO · Enbrel · HUMIRA · Humira · IDACIO · INFLECTRA · KRYSTEXXA · OFEV · ORENCIA · Otezla · RAYOS · RINVOQ · SIMPONI ARIA · STRENSIQ · TREMFYA · Trintellix · Uloric · XELJANZ
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (61%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an optician specialist in Pleasanton?
Compare opticians in the Pleasanton area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians within 10 mi
545
Per 100K population
33.0
County median income
$126,240
Nearest hospital
STANFORD HEALTH CARE TRI-VALLEY
0.0 mi

Data Sources

Provider Registry ✓ NPPES Weekly updates
Medicare Enrollment ✓ PECOS Monthly updates
Practice Data ✓ Medicare Util. Annual (CY lag)
Industry Payments ✓ Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Roche is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 16% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Roche experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Roche performed 914 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Roche receive payments from pharmaceutical companies?
Yes. Dr. Roche received a total of $8,614 from 19 companies across 285 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Roche's costs compare to other opticians in Pleasanton?
Dr. Roche's average Medicare payment per service is $113. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Roche) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →

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About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →