Active NPI
Roger Massa Componovo, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD432295
- Practice address
- 600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263 - Phone
- (570) 421-7020
- Fax
- (570) 421-7091
- NPI assigned
- Nov 8, 2006
- Last updated
- Oct 14, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 011695932 | SC | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD432295 | PA | Primary |
Addresses
Primary practice location
600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Mailing address
600 Plaza CT Ste C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020
Other practice location 1
100 Wheatfield Dr Ste 2
Milford, PA 18337-7699
Phone (570) 421-7020
Other practice location 2
120 Burrus Blvd Ste 120
Brodheadsville, PA 18322-7812
Phone (570) 421-7020
Other practice location 3
100 Community Dr Ste 210
Tobyhanna, PA 18466-8987
Phone (570) 421-7020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD432295 | Other | PA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
100 Community Dr
Suite 210
Tobyhanna, PA 18466-8987
Phone (570) 421-7020
120 Burrus Blvd
Suite 120
Brodheadsville, PA 18322-7812
Phone (570) 421-7020
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
600 Plaza CT
Suite C
East Stroudsburg, PA 18301-8263
Phone (570) 421-7020
Hospital & facility affiliations
- Comprehensive Medical Home Care
- Accentcare Health of Pennsylvania
- Lehigh Valley Hospital - Pocono
- St Luke's Hospital - Monroe Campus
- Lehigh Valley Hospital
- St Luke's Miners Memorial Hospital
- Bon Secours Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.13 of 100
- Quality
- 61.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 61.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 38 |
| Knee replacement | 74 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD432295 | PA | MD | Adult Reconstructive Orthopaedic Surgery Physician |
| 011695932 | SC | MD | Adult Reconstructive Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Valley Orthopedics PC | Current | Accepting new patients | |
| Mountain Valley Orthopedics, P.C. | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
| Family Care Centers Inc. | Past | Accepting new patients |
Locations
120 Burrus Blvd
Ste 120
Brodheadsville, PA 18322
Phone (570) 421-7020
600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020
100 Wheatfield Dr
Milford, PA 18337
Phone (570) 296-5911
100 Wheatfield Dr
Ste 2
Milford, PA 18337
Phone (570) 421-7020
100 Community Dr
Ste 210
Tobyhanna, PA 18466
Phone (570) 421-7020
Interoperability endpoints
- https://api.platform.athenahealth.com/9299/brand/1/csg/1/fhir/r4
- roger.componovo.1@9299.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- East Stroudsburg, PA
- NPI 1538226519
Adult Reconstructive Orthopaedic Surgery
-
- Pharmacy
- Tobyhanna, PA
- NPI 1376959569
-
dba Lehigh Valley Physician Group - Pocono
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
dba AccentCare Health of Pennsylvania
- Home Health Agency
- Bristol, PA
- NPI 1518901610
-
- General Acute Care Hospital
- Stroudsburg, PA
- NPI 1396194197
-
dba St. Luke's Miners Memorial Hospital
- General Acute Care Hospital
- Coaldale, PA
- NPI 1437182847
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1821168733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 PLAZA CT STE C",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018263",
"telephone_number": "570-421-7020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 PLAZA CT STE C",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183018263",
"telephone_number": "570-421-7020",
"fax_number": "570-421-7091"
}
],
"practiceLocations": [
{
"address_1": "100 Wheatfield Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "PA",
"postal_code": "183377699",
"country_code": "US",
"telephone_number": "570-421-7020",
"fax_number": "570-421-7091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 Burrus Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Brodheadsville",
"state": "PA",
"postal_code": "183227812",
"country_code": "US",
"telephone_number": "570-421-7020",
"fax_number": "570-421-7091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Community Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Tobyhanna",
"state": "PA",
"postal_code": "184668987",
"country_code": "US",
"telephone_number": "570-421-7020",
"fax_number": "570-421-7091",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMPONOVO",
"first_name": "ROGER",
"middle_name": "MASSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "SC",
"license": "011695932",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "PA",
"license": "MD432295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD432295",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.