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Deactivated NPI 1295746519 Deactivated / Inactive NPI Male Practitioner

Dr. Johnny B Roy , MD

Urology • Edmond, OK

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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, Dr. Johnny Roy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Johnny Roy, MD was a registered Urology practicing in Edmond, OK. Throughout an active medical career spanning 16 years, Dr. Roy provided care at the practice location at 105 S BRYANT AVE until profile deactivation on 2022-01-28.

Historical Medicare Part B clinical services included injection, testosterone cypionate, 1 mg, established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

105 S Bryant Ave
#110

Edmond, OK 730346399

Telephone 4058442400
Fax 4058442415
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Edmond, OK (179 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
46.4% 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
J1071 Injection, testosterone cypionate, 1 mg
314 20 $15.00 $0.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
227 56 $185.00 $100.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
158 21 $35.00 $23.17
81000 Manual urinalysis test with examination using microscope, non-automated
12 11 $18.00 $4.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $275.00 $154.80

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License OK 9569

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Viorica Khalili , MD

Internal Medicine - Nephrology

NPI 1003858663

Doctor of Medicine (M.D.)

Dr. Stephen Mihalsky , MD

Surgery - Surgery of the Hand

NPI 1205856820

Doctor of Medicine (M.D.)

Dr. Larry Balzer , MD

Family Medicine - Geriatric Medicine

NPI 1235129370

Doctor of Medicine (M.D.)

Dr. Sarah Ayres , MD

Family Medicine

NPI 1326087909

Doctor of Medicine (M.D.)

Dr. John Martin , MD

Family Medicine

NPI 1376619866

Doctor of Medicine (M.D.)

Freta Hale , CST, CFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1467690347

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 January 28, 2022

Record deactivated on January 28, 2022

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 105 S BRYANT AVE, #110, EDMOND, OK 730346399 (Tel: 4058442400)

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Updated Business Mailing Address July 08, 2007

Registered at 105 S BRYANT AVE, #110, EDMOND, OK 730346399 (Tel: 4058442400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHNNY ROY, M.D

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

Urology (License #9569 in OK)

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Initial NPI Registration & Enumeration August 11, 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: 1295746519
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

105 S Bryant Ave, #110

Edmond, OK 730346399

Phone: 4058442400

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.