David Bernard Roy, D.O.

Key facts

NPI

1801097019

Entity type

Individual (NPI type 1)

Primary specialty

MOHS-Micrographic Surgery Physician 207ND0101X

License

21178 (MS)

Practice address

201 S Main St
Petal, MS 39465-2362

Phone

(601) 336-5626

Fax

(601) 336-7826

NPI assigned

May 29, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David B Roy DO PA MOHS-Micrographic Surgery Physician · Petal, MS · NPI 1194124834
  Medicare reassignment Care Compare group NPD Authorized official MOHS-MICROGRAPHIC SURGERY · MS
• Pine Belt Dermatology and Skin Cancer Center MOHS-Micrographic Surgery Physician · Petal, MS · NPI 1497159453
  NPD MOHS-MICROGRAPHIC SURGERY

Medicare Care Compare profile

Specialty

Dermatology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David B Roy DO PA (10 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.05 of 100 (group)

Quality

81.89

Promoting interoperability

100

Improvement activities

40

Cost

71.62

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2015.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1801097019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652362",
            "telephone_number": "601-336-5626",
            "fax_number": "601-336-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652362",
            "telephone_number": "601-336-5626",
            "fax_number": "601-336-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "DAVID",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "4312",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "4312",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MS",
            "license": "21178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09652756",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petal, MS

• Ramon M Napier, DMD
• David Ratcliff, R.PH
• Judd M Reynolds, D.O.
• Milton Bradford Reynolds I, DDS
• Shawn Robinson, ATC
• Sandra G Russell, FNP
• Aaron Rylander, DPT
• Lacey Easterling Saul, R.D
• Coleman Sisson, PHARM. D.
• James Dale Skaggs

All providers in Petal, MS · MOHS-Micrographic Surgery Physician in Mississippi