NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1386789238 M.D.
Verify on CMS → Sean Rocha, M.D.
Orthopaedic Surgery Physician in Durham, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,775 in Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
201
Medicare Part D claims · 86 beneficiaries · Orthopaedic Surgery Physician avg: 324
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sean Rocha, M.D. filed 201 Medicare Part D claims in 2023 as a Orthopaedic Surgery Physician in Durham, North Carolina.
- 201
- Part D claims, 2023
- 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.
Sean Rocha, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
201 49th percentile higher than 49% of 1,370,886 prescribers
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)
Sean Rocha, 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).
What does the federal data show about Sean Rocha, M.D.?
Quality data not reportedPrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
201 38% vs specialty avg
Specialty distribution in North Carolina
How Orthopaedic Surgery Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Orthopaedic Surgery Physician. Verify directly:
How MIPS and board certification work
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).
Sean Rocha, M.D. appears in the CMS NPPES registry as an Orthopaedic Surgery Physician provider holding M.D. credentials at 120 WILLIAM PENN PLZ, Durham, NC, 27704, with a listed phone of (919) 220-5255. NPI 1386789238 was issued on 02/20/2007.
Medicare Part D records for calendar year 2023 show 201 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 49.8%.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,775 enrolled providers across 56 states and an average of 324 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
Provider Details
| NPI | 1386789238 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/20/2007 |
Hospital and facility affiliations
Facilities where Sean Rocha, 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.
Permanente Medical Group Inc
Sacramento, CA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
201
Total Claims
$2K
Total Drug Cost
86
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 201
- Total Day Supply
- 1,356
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
- Opioid Claims
- 100 (49.8% rate)
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 0.98
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sean Rocha, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
64 claims
- Ondansetron Odt
Ondansetron Odt
40 claims
- Ibuprofen
Ibuprofen
38 claims
- Tramadol Hcl 19
Tramadol Hcl
19 claims
- Oxycodone Hcl 16
Oxycodone Hcl
16 claims
- Diclofenac Sodium 13
Diclofenac Sodium
13 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 64 |
| Ondansetron Odt Ondansetron | 40 |
| Ibuprofen | 38 |
| Tramadol Hcl | 19 |
| Oxycodone Hcl | 16 |
| Diclofenac Sodium | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Sean Rocha, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.
25,775
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
Sean Rocha, M.D.'s 201 claims are below the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Rocha.
Dr. Christopher Adair
MD
Greensboro, NC
Dr. Richard Adams
M.D.
Statesville, NC
Dr. Samuel Adams
M.D.
Durham, NC
Dr. Anshul Agarwala
M.D.
Greensboro, NC
Dr. Briggs Ahearn
MD
Pineville, NC
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sean Rocha, M.D.'s specialty? ▼
Sean Rocha, M.D. specializes in Orthopaedic Surgery Physician and practices in Durham, North Carolina. Credentials: M.D..
How much does Sean Rocha, M.D. prescribe under Medicare Part D? ▼
In 2023, Sean Rocha, M.D. wrote 201 Medicare Part D claims totaling $2K in drug costs for 86 beneficiaries.
Where is Sean Rocha, M.D. located? ▼
Sean Rocha, M.D. is located at 120 WILLIAM PENN PLZ, Durham, NC, 27704. Phone: (919) 220-5255.
What is Sean Rocha, M.D.'s NPI number? ▼
Sean Rocha, M.D.'s National Provider Identifier (NPI) is 1386789238, issued on 02/20/2007.
Does Sean Rocha, M.D. prescribe opioids? ▼
Yes, Sean Rocha, M.D. had 100 opioid claims in 2023 with an opioid prescribing rate of 49.8%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,775 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Sean Rocha, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sean Rocha, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Ondansetron Odt, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sean Rocha, M.D. accept Medicare? ▼
Sean Rocha, M.D. appears in CMS Medicare data with 201 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Rocha, M.D.'s credentials? ▼
Sean Rocha, M.D.'s NPI is 1386789238 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.