Active NPI 1750377701 Individual Practitioner Male Practitioner

Dr. David P Roy , MD

Internal Medicine • Plainville, CT

Professional Overview & Biography Verified Profile Summary

Dr. David Roy, MD is a registered healthcare professional specializing in Internal Medicine in Plainville, CT. Practice services are available at 184 EAST ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

184 East St
Grove Hill Medical Center

Plainville, CT 060622913

Telephone 8607475766

Fax 8607472028

Associated Practice Facility / Clinic

🏢 Starling Physicians Pc Facility NPI 1255448155

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Plainville, CT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.5 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Plainville, CT (2753 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	57	35	$136.00	$95.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	24	$202.00	$134.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$215.00	$138.77
G0008 Administration of influenza virus vaccine	14	14	$45.00	$32.50
90662 Influenza vaccine split virus, preservative free	13	13	$90.00	$71.93
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$65.00	$15.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	52	38	$135.62	$97.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$190.00	$139.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	36	36	$200.00	$141.69
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$65.00	$15.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
0011A Adm sarscov2 100mcg/0.5ml1st	51	51	$60.00	$43.50
0012A Adm sarscov2 100mcg/0.5ml2nd	40	40	$60.00	$43.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$190.00	$142.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	11	11	$200.00	$145.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	117	69	$8.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	220	76	$8.00	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	148	$190.00	$115.42
99213 Established patient office or other outpatient visit, typically 15 minutes	208	132	$126.00	$78.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$150.00	$125.55
93000 Routine ekg using at least 12 leads including interpretation and report	84	84	$62.11	$18.57
G0513 Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preve	31	31	$90.00	$68.88
99495 Transitional care management services for problem of at least moderate complexity	29	25	$300.00	$176.63
G0009 Administration of pneumococcal vaccine	25	25	$39.80	$22.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	17	$185.00	$58.02
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	11	$150.00	$45.31
90670 Pneumococcal vaccine for injection into muscle	15	15	$372.00	$195.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$182.00	$178.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	467	244	$126.00	$77.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	221	$190.00	$114.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	189	189	$150.00	$124.34
93000 Routine ekg using at least 12 leads including interpretation and report	173	165	$58.91	$18.52
G0008 Administration of influenza virus vaccine	123	123	$32.15	$27.77
90662 Influenza vaccine split virus, preservative free	120	120	$81.80	$47.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	13	$135.00	$76.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	45	37	$185.00	$57.96
99495 Transitional care management services for problem of at least moderate complexity	37	29	$323.65	$175.55
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	19	$150.00	$44.81
G0009 Administration of pneumococcal vaccine	25	25	$30.40	$27.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$80.00	$47.14
99238 Hospital discharge day management, 30 minutes or less	15	12	$135.00	$76.98
90670 Pneumococcal vaccine for injection into muscle	15	15	$362.80	$185.01
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$182.00	$177.28

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 027869

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001278696 (CT)

Medicaid State Provider ID

004215324 (CT)

Commercial Insurance / Payer ID Aetna

477128 (CT)

Commercial Insurance / Payer ID Bcbs & Bcfp Id

010027869CT01 (CT)

Commercial Insurance / Payer ID Cigna

01027869 (CT)

Commercial Insurance / Payer ID Oxford

P369798 (CT)

Commercial Insurance / Payer ID Rail Road Mediare

110130198 (CT)

Commercial Insurance / Payer ID Ghmc Group Npi Id

1255448155 (CT)

Commercial Insurance / Payer ID Health Net

060037 (CT)

Commercial Insurance / Payer ID Wellcare Medicare

370141 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. David Sowa , MD

Obstetrics & Gynecology

NPI 1104813377

Doctor of Medicine (M.D.)

Oosman Tariq

Family Medicine

NPI 1174979512

Dr. Karen Haverly , MD

Obstetrics & Gynecology

NPI 1275539066

Doctor of Medicine (M.D.)

Dr. Angela Geddis , MD

Pediatrics

NPI 1316943285

Doctor of Medicine (M.D.)

Dr. Peter Harris , MD

Internal Medicine

NPI 1457357246

Doctor of Medicine (M.D.)

Ashley Bogue , PA-C

Physician Assistant - Medical

NPI 1538543368

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 184 EAST ST, GROVE HILL MEDICAL CENTER, PLAINVILLE, CT 060622913 (Tel: 8607475766)

📍

Updated Business Mailing Address July 09, 2007

Registered at 300 KENSINGTON AVE, GROVE HILL MEDICAL CENTER, NEW BRITAIN, CT 060513916 (Tel: 8607475766)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as DAVID ROY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Internal Medicine (License #027869 in CT)

🟢

Initial NPI Registration & Enumeration September 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750377701

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 26, 2005

Last Update: July 09, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

300 Kensington Ave, Grove Hill Medical Center

New Britain, CT 060513916

Phone: 8607475766

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.