2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1801153572 M.D.
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JOSHUA ROUCH, M.D.

Plastic and Reconstructive Surgery Physician in BOULDER, Colorado. 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
145
Medicare Part D claims · 33 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Industry payments
$286.71
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSHUA ROUCH, M.D. is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in BOULDER, Colorado with a Medicare Part D prescribing footprint of 145 claims across 33 beneficiaries . Industry payments of $286.71 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSHUA ROUCH, M.D. filed 145 Medicare Part D claims in 2023 across BOULDER, Colorado. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSHUA ROUCH, M.D. 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).

JOSHUA ROUCH, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/18/2012

NPI 1801153572

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

145 69% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in Colorado

How Plastic and Reconstructive Surgery Physician compares to other specialties among Colorado providers

Colorado providers

Plastic and Reconstructive Surgery Physician share within Colorado

1. Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic and Reconstructive Surgery Physician share within Colorado

Specialty board-certification context

Estimated specialty board-certified rate — Plastic and Reconstructive Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic and Reconstructive Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic and Reconstructive Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic and Reconstructive Surgery 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).

JOSHUA ROUCH, M.D. is a Plastic and Reconstructive Surgery Physician provider practicing in BOULDER, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1801153572. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSHUA ROUCH, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 1215 SPRUCE ST STE 201, BOULDER, CO, 80302, with a listed phone of (303) 443-2277. NPI 1801153572 was issued on 04/18/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROUCH 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 145 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 23.4%. 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.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

1215 SPRUCE ST STE 201
BOULDER, CO 80302

Provider Details

NPI 1801153572
Specialty Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/18/2012

Hospital and facility affiliations

Facilities where JOSHUA ROUCH, M.D. 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.

BOULDER PLASTIC SURGERY PROF LLC
BOULDER, CO

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 JOSHUA ROUCH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$287

Largest payer

REVANCE THERAPEUTICS, 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.

Medicare Part D Prescribing Data

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

145
Total Claims
$2K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
147
Total Day Supply
1,335
Generic Drug Cost
$969
Opioid Claims
34 (23.4% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
0.64

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ibuprofen
26
Oxycodone Hcl
24
Cyclobenzaprine Hcl
23
Ondansetron Odt
Ondansetron
18

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

Plastic and Reconstructive Surgery Physician Overview

How JOSHUA ROUCH, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

JOSHUA ROUCH, M.D.'s 145 claims are above the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Colorado

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

Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSHUA ROUCH, M.D.'s specialty?
JOSHUA ROUCH, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in BOULDER, Colorado. Credentials: M.D..
How much does JOSHUA ROUCH, M.D. prescribe under Medicare Part D?
In 2023, JOSHUA ROUCH, M.D. wrote 145 Medicare Part D claims totaling $2K in drug costs for 33 beneficiaries.
Where is JOSHUA ROUCH, M.D. located?
JOSHUA ROUCH, M.D. is located at 1215 SPRUCE ST STE 201, BOULDER, CO, 80302. Phone: (303) 443-2277.
What is JOSHUA ROUCH, M.D.'s NPI number?
JOSHUA ROUCH, M.D.'s National Provider Identifier (NPI) is 1801153572, issued on 04/18/2012.
Does JOSHUA ROUCH, M.D. prescribe opioids?
Yes, JOSHUA ROUCH, M.D. had 34 opioid claims in 2023 with an opioid prescribing rate of 23.4%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does JOSHUA ROUCH, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA ROUCH, M.D.'s most frequently prescribed drugs include Ibuprofen, Oxycodone Hcl, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA ROUCH, M.D. accept Medicare?
JOSHUA ROUCH, M.D. appears in CMS Medicare data with 145 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA ROUCH, M.D.'s credentials?
JOSHUA ROUCH, M.D.'s NPI is 1801153572 with credentials M.D.. 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