Active NPI 1699798751 Individual Practitioner Male Practitioner

Dr. Brandon P Roy , MD

Surgery • Raleigh, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brandon Roy, MD is a certified Surgery practicing in Raleigh, NC. With approximately 27 years of clinical experience since graduating from University Of Minnesota Medical School in 1999, Dr. Roy delivers high-quality medical care to the local community at 3024 NEW BERN AVE.

Dr. Roy is affiliated with Wakemed Specialists Group Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3024 New Bern Ave
Suite 304 - Surgery / Trauma

Raleigh, NC 276101247

Telephone 9193508729

Fax 9193507633

Associated Practice Facility / Clinic

🏢 Wakemed Faculty Practice Plan Facility NPI 1396791786

Medicare Profile & Education

Medical School

University Of Minnesota Medical School

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Raleigh, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +4.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

85 Specialists

Practicing in Raleigh, NC (1222 Statewide)

Telehealth Adoption Rate

16.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roy (27 Years) 27 Yrs

Raleigh Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	35	35	$465.00	$206.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	24	$353.00	$164.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$467.00	$161.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$237.00	$110.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$348.00	$156.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$465.00	$211.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	21	$353.00	$172.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	20	$467.00	$163.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$237.00	$109.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	31	$353.00	$176.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$465.00	$215.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$467.00	$192.99
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	14	$237.00	$99.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	13	$168.00	$69.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$348.00	$159.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$353.00	$170.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$467.00	$194.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	15	$237.00	$100.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$336.00	$132.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$256.00	$109.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	30	24	$237.00	$103.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$215.00	$106.13
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	22	$168.00	$71.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$467.00	$201.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$348.00	$162.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$353.00	$140.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	25	$237.00	$101.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$348.00	$155.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$353.00	$134.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	24	$467.00	$197.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$215.00	$103.96
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	18	$168.00	$71.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$103.00	$38.43
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$156.00	$71.59
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$336.00	$133.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$256.00	$104.18
47562 Removal of gallbladder using an endoscope	11	11	$2267.00	$641.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	33	$162.00	$70.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$452.12	$196.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$325.54	$132.16
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	18	$230.84	$101.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$337.12	$157.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	21	$98.87	$37.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	19	$338.68	$139.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$204.89	$103.12
47562 Removal of gallbladder using an endoscope	15	15	$2173.40	$633.42
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$151.15	$68.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	46	$160.00	$69.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$331.00	$156.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$445.00	$195.84
99213 Established patient office or other outpatient visit, typically 15 minutes	26	23	$149.00	$67.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$98.00	$37.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$320.00	$132.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	19	$201.00	$102.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	12	$226.00	$100.88
47562 Removal of gallbladder using an endoscope	17	17	$2159.00	$602.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$336.00	$130.47
49505 Repair of groin hernia (5 years or older)	13	13	$1304.00	$500.74

Medical Specialties & State Licenses

CMS Verified: 2021-04-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 2005-00868

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5901718 (NC)

Hospital & Practice Group Affiliations

Wakemed Specialists Group Llc

10010 Falls Of Neuse Rd, Raleigh, NC 276148494

Phone: 9197668989

Practice Associates & Co-Workers

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

17 Associated Practitioners

Kathleen Rowe , NP

Nurse Practitioner

NPI 1043460967

Nurse Practitioner

Emma Martinelli , PA-C

Physician Assistant

NPI 1073161584

Physician Assistant (Certified)

Dr. William Sullivan , MD

Surgery

NPI 1083783005

Doctor of Medicine (M.D.)

Dr. Matthew Alleman , MD

Surgery

NPI 1295936714

Doctor of Medicine (M.D.)

Stacy Kropp , PA-C

Physician Assistant - Surgical

NPI 1346766029

Physician Assistant (Certified)

Dr. Sukanto Biswas , MD

Surgery

NPI 1356350490

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address April 08, 2021

Registered at 2920 HIGHWOODS BLVD, RALEIGH, NC 276040010 (Tel: 8774984490)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 3024 NEW BERN AVE, SUITE 304 - SURGERY / TRAUMA, RALEIGH, NC 276101247 (Tel: 9193508729)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3024 NEW BERN AVE, SUITE 300, RALEIGH, NC 276101247 (Tel: 9193508228)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRANDON ROY, M.D.

🎓

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

Surgery (License #2005-00868 in NC)

🟢

Initial NPI Registration & Enumeration July 26, 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: 1699798751

Entity Type:

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

Enumeration Date: July 26, 2006

Last Update: April 08, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2920 Highwoods Blvd

Raleigh, NC 276040010

Phone: 8774984490

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.