NPPES file of Aug 9, 2026

Sierra Laster Roach, PA-C

Medical Physician Assistant · North Charleston, SC

Sierra Laster Roach, PA-C is a medical physician assistant with a practice address in North Charleston, South Carolina, and NPI 1275289894, issued on Feb 22, 2022. Check the license (South Carolina 4179, as entered in NPPES) with the South Carolina board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275289894
Name
Sierra Laster Roach
Credential
PA-C
Primary taxonomy
Medical Physician Assistant 363AM0700X
License numbers
4179 SC
7149 SC
Self-reported in NPPES; status is on the state search
Practice location
2695 Elms Plantation Blvd, North Charleston, SC 29406
Phone
(843) 818-1181
Enumerated
Feb 22, 2022
Record last updated
Apr 29, 2024
Medicare enrollment
Enrolled (PECOS I20220422001894); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 2695 Elms Plantation Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Lauren Barsan, PA-CMedical Physician Assistant1871967596
  2. Kaylen Bernota, PA-CPhysician Assistant1982540597
  3. Erik Conniff, PA-CPain Medicine (Physical Medicine & Rehabilitation) Physician1174206569
  4. Sydney Johnson, PA-CPhysician Assistant1730850819
  5. Jared LethcoPhysical Therapist1033521596
  6. Joanna McKellar, PAPhysician Assistant1144986530

Verify Sierra Laster Roach in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich South Carolina board licenses this profession
    Search for license 4179
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the South Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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15% more Medicare Part D claims than the average medical physician assistant in 2024

1,323 Medicare Part D claims for 292 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. Brand-name drugs were 13% of claims. 158 claims were for opioids.

  1. Sierra Roach1,323
  2. Specialty average1,148

Most prescribed

  1. Gabapentin108 claims
  2. Donepezil Hcl75 claims
  3. Pregabalin74 claims
  4. Oxycodone-Acetaminophen62 claims
  5. Topiramate55 claims
  6. Hydrocodone-Acetaminophen52 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $985.21

8 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sierra Roach$985.21
  2. Specialty average$1,055.00

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Pain Specialists OF CharlestonColumbia, SC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sierra Laster Roach among 493 medical physician assistant records in South Carolina

Sierra Laster Roach, PA-C is one of 493 medical physician assistant records with a practice address in South Carolina. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 87% of them.

  • NPI issued2022 · 87% of these records are older, 9% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 57% of these records are
  • Graduated2021 · median 2014 among the 282 with a school on file
  • Record last updated2024 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a South Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

24 medical physician assistant records list a practice address in North Charleston

They are 24 of the 1,964 NPPES records with a practice address in North Charleston, and 493 medical physician assistant records in South Carolina.

The 8 medical physician assistant records with the nearest ZIP codes

  1. Gregory Beres, PA-CNorth Charleston, SC 294061306831383
  2. Virginia Blease, PANorth Charleston, SC 294061942330238
  3. April Buckingham, PA-CNorth Charleston, SC 294061134251952
  4. Kathleen Bukowsky, PA-CNorth Charleston, SC 294061689944373
  5. Christina Chandler, PA-CN Charleston, SC 294061013251750
  6. Lauren Davis, PA-CNorth Charleston, SC 294061962737684
  7. Wakesha Evans, PA-CNorth Charleston, SC 294061952585564
  8. Jennifer Graves, PA-CCharleston, SC 294061942280623

Common questions

What is Sierra Laster Roach, PA-C's NPI number?

Sierra Laster Roach, PA-C's National Provider Identifier (NPI) is 1275289894, issued on Feb 22, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Sierra Laster Roach, PA-C located?

The NPPES record lists a practice address at 2695 Elms Plantation Blvd, North Charleston, SC, 29406. Phone: (843) 818-1181. Providers update this record themselves, so call before visiting.

How can I verify Sierra Laster Roach, PA-C's license?

NPPES lists South Carolina license number 4179, as entered by the provider. Search the South Carolina board that licenses this profession; the NPPES record confirms identity only.

How much does Sierra Laster Roach, PA-C prescribe under Medicare Part D?

In 2024, Sierra Laster Roach, PA-C had 1,323 Medicare Part D claims for 292 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.