Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1366486474 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Allen Ray , MD

Specialist • Independence, MO

⚠️

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, Dr. Roger Ray has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2006
NPI Deactivation Date December 31, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Ray, MD was a registered Specialist practicing in Independence, MO. Throughout an active medical career spanning 12 years, Dr. Ray provided care at the practice location at 19550 E 39TH ST S STE 200 until profile deactivation on 2018-12-31.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, follow-up hospital inpatient care per day. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

19550 E 39th St S Ste 200

Independence, MO 640572303

Telephone 8163504215
Fax 8163504220

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Independence, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.5% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
139 103 $116.70 $70.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
87 87 $123.00 $99.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes
32 14 $77.00 $39.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
27 27 $317.00 $153.72
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
14 13 $139.00 $72.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $235.00 $191.92
72110 X-ray of lower and sacral spine, minimum of 4 views
11 11 $166.00 $47.63

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 13425

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Lucas Philipp , MD

Neurological Surgery

NPI 1003313438

Doctor of Medicine (M.D.)

Dr. Barry Pollack , MD

Neurological Surgery

NPI 1053374835

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
⚠️
NPI Profile Deactivated December 31, 2018

Record deactivated on December 31, 2018

📍
Updated Practice Location May 25, 2018

Registered at 426 E DR HICKS BLVD, FLORENCE, AL 356305763 (Tel: 2567647721)

📍
Updated Business Mailing Address May 25, 2018

Registered at 426 E DR HICKS BLVD, FLORENCE, AL 356305763 (Tel: 2567647721)

NPI Profile Active March 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2013

Registered at 19550 E 39TH ST S STE 200, INDEPENDENCE, MO 640572303 (Tel: 8163504215)

📍
Updated Business Mailing Address March 18, 2013

Registered at 19550 E 39TH ST S STE 200, INDEPENDENCE, MO 640572303 (Tel: 8163504215)

👤
Provider Name / Credentials Updated March 18, 2013

Recorded as ROGER RAY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2013

Specialist (License #13425 in AL)

🟢
Initial NPI Registration & Enumeration June 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Roger Ray. Be the first to share your experience!

Sign in to leave a review for Dr. Roger Ray

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366486474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: March 18, 2013
Deactivation Date: December 31, 2018

Mailing Address

19550 E 39th St S Ste 200

Independence, MO 640572303

Phone: 8163504215

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.