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Deactivated NPI 1285612192 Deactivated / Inactive NPI Male Practitioner

Robert M Roddy , PA

Physician Assistant • Milbury, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Roddy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 03, 2006
NPI Deactivation Date December 07, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Robert Roddy, PA was a registered Physician Assistant practicing in Milbury, MA. Throughout an active medical career spanning 12 years, Robert Roddy provided care at the practice location at 94 ELM ST until profile deactivation on 2018-12-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual depression screening, 5 to. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

94 Elm St

Milbury, MA 01527

Telephone 5088655858
Fax 5085810070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Milbury, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Milbury, MA (4746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.6% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
59 57 $184.49 $64.49
36415 Insertion of needle into vein for collection of blood sample
12 12 $18.00 $2.94
G0444 Annual depression screening, 5 to 15 minutes
12 12 $47.00 $15.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA 246

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Robert Cavanaugh , MD

Internal Medicine

NPI 1659331916

Doctor of Medicine (M.D.)

Karri Crowley , FNP

Nurse Practitioner - Family

NPI 1780060426

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 07, 2018

Record deactivated on December 07, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 94 ELM ST, MILBURY, MA 01527 (Tel: 5088655858)

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Updated Business Mailing Address July 08, 2007

Registered at 630 PLANTATION ST, WOT 12TH FLOOR ATTN. PHYSICIAN SERVICES, WORCESTER, MA 01605 (Tel: 5083685529)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT RODDY, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #246 in MA)

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Initial NPI Registration & Enumeration January 03, 2006

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: 1285612192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2006
Last Update: July 08, 2007
Deactivation Date: December 07, 2018

Mailing Address

630 Plantation St, Wot 12th Floor Attn. Physician Services

Worcester, MA 01605

Phone: 5083685529

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.