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Deactivated NPI 1235127358 Deactivated / Inactive NPI Male Practitioner

Dr. Roger B. Young , MD

General Practice • Moore, 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. Roger Young has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2005
NPI Deactivation Date April 04, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Young, MD was a registered General Practice practicing in Moore, OK. Throughout an active medical career spanning 17 years, Dr. Young provided care at the practice location at 2020 SOUTH I-35 SERVICE RD. until profile deactivation on 2022-04-04.

Historical Medicare Part B clinical services included injection, dexamethasone sodium phosphate, 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

2020 South I-35 Service Rd.

Moore, OK 73160

Telephone 4053668339
Associated Practice Facility / Clinic
🏢 West Medical Group Llc Facility NPI 1952682445

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Moore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.0 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Moore, OK (175 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
49.9% 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg
481 77 $15.00 $0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
187 147 $145.00 $94.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
123 89 $48.00 $21.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
98 98 $152.00 $94.40
J0696 Injection, ceftriaxone sodium, per 250 mg
75 34 $24.00 $0.63
J1030 Injection, methylprednisolone acetate, 40 mg
70 63 $15.00 $5.50
99213 Established patient office or other outpatient visit, typically 15 minutes
64 49 $137.00 $62.63
81000 Manual urinalysis test with examination using microscope, non-automated
46 40 $21.00 $4.17
87804 Detection test by immunoassay with direct visual observation for influenza virus
42 21 $25.00 $16.11
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
15 15 $46.00 $16.11

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OK 18033

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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 April 04, 2022

Record deactivated on April 04, 2022

NPI Profile Active April 13, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 13, 2011

Registered at 2020 SOUTH I-35 SERVICE RD., MOORE, OK 73160 (Tel: 4053668339)

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Updated Business Mailing Address April 13, 2011

Registered at 2119 RIVERWALK DR, SUITE 195, MOORE, OK 731602700 (Tel: 4053668339)

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Provider Name / Credentials Updated April 13, 2011

Recorded as ROGER YOUNG, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2011

General Practice (License #18033 in OK)

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Initial NPI Registration & Enumeration October 12, 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: 1235127358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2005
Last Update: April 13, 2011
Deactivation Date: April 04, 2022

Mailing Address

2119 Riverwalk Dr, Suite 195

Moore, OK 731602700

Phone: 4053668339

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.