2026 NPPES data Adult Medicine Physician NPI 1932137957 MD
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ANTONIO ROA, MD

Adult Medicine Physician in LAKE PLACID, Florida. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
7K
Medicare Part D claims · 568 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$70.76
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANTONIO ROA, MD filed 6,898 Medicare Part D claims in 2023 as a Adult Medicine Physician in LAKE PLACID, Florida, prescribing 91% generic.

7K
Part D claims, 2023
91%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANTONIO ROA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

6,898 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

ANTONIO ROA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANTONIO ROA, MD?

Quality data not reported

NPI registry status

Active

Issued 06/29/2006

NPI 1932137957

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

6,898 146% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in Florida

How Adult Medicine Physician compares to other specialties among Florida providers

Florida providers

Adult Medicine Physician share within Florida

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Adult Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANTONIO ROA, MD appears in the CMS NPPES registry as a Adult Medicine Physician provider holding MD credentials at 201 US HIGHWAY 27 S, LAKE PLACID, FL, 33852, with a listed phone of (863) 465-6200. NPI 1932137957 was issued on 06/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 6,898 prescription claims written by this provider, covering 568 Medicare beneficiaries and totaling roughly $549K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 0.5%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

201 US HIGHWAY 27 S
LAKE PLACID, FL 33852

Provider Details

NPI 1932137957
Specialty Adult Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/29/2006

Hospital and facility affiliations

Facilities where ANTONIO ROA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ADVENTIST HEALTH SYSTEM-SUNBELT INC
FROSTPROOF, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ANTONIO ROA, MD. Source: openpaymentsdata.cms.gov.

Total received

$71

Largest payer

Amgen Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to ANTONIO ROA, MD. To verify ANTONIO ROA, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ANTONIO ROA, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 6,898 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

6,898
Total Claims
$549K
Total Drug Cost
568
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,550
Total Day Supply
488,449
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$424K
Generic Drug Cost
$122K
Opioid Claims
32 (0.5% rate)
Antibiotic Claims
138

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.21
Gender Split
47% female / 53% male
Age Distribution
<65: 59, 65-74: 250, 75-84: 188, 85+: 71

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANTONIO ROA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
374
Amlodipine Besylate
349
Simvastatin
247
Metformin Hcl
225
Levothyroxine Sodium
209
Rosuvastatin Calcium
200
Lisinopril
189
Omeprazole
172
Alprazolam
170
Gabapentin
154

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Medicine Physician Overview

How ANTONIO ROA, MD fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

ANTONIO ROA, MD's 6,898 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as ROA.

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTONIO ROA, MD's specialty?
ANTONIO ROA, MD specializes in Adult Medicine Physician and practices in LAKE PLACID, Florida. Credentials: MD.
How much does ANTONIO ROA, MD prescribe under Medicare Part D?
In 2023, ANTONIO ROA, MD wrote 6,898 Medicare Part D claims totaling $549K in drug costs for 568 beneficiaries.
Where is ANTONIO ROA, MD located?
ANTONIO ROA, MD is located at 201 US HIGHWAY 27 S, LAKE PLACID, FL, 33852. Phone: (863) 465-6200.
What is ANTONIO ROA, MD's NPI number?
ANTONIO ROA, MD's National Provider Identifier (NPI) is 1932137957, issued on 06/29/2006.
Does ANTONIO ROA, MD prescribe more brand-name or generic drugs?
ANTONIO ROA, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $424K in brand drug costs.
Does ANTONIO ROA, MD prescribe opioids?
Yes, ANTONIO ROA, MD had 32 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does ANTONIO ROA, MD prescribe most often?
Based on 2023 Medicare Part D data, ANTONIO ROA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Simvastatin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTONIO ROA, MD accept Medicare?
ANTONIO ROA, MD appears in CMS Medicare data with 6,898 Part D claims and 568 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTONIO ROA, MD's credentials?
ANTONIO ROA, MD's NPI is 1932137957 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology