Active NPI 1750442794 Individual Practitioner Male Practitioner

Dr. Roy M Main , MD

Internal Medicine • Westerly, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roy Main, MD is a certified Internal Medicine practicing in Westerly, RI. With approximately 42 years of clinical experience since graduating from University Of Mississippi School Of Medicine in 1984, Dr. Main delivers high-quality medical care to the local community at 6 REED DR.

Dr. Main is affiliated with Hospital Medicine Associates Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6 Reed Dr

Westerly, RI 028913934

Telephone 4015801788

Medicare Profile & Education

Medical School

University Of Mississippi School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Westerly, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +7.9 yrs vs City Avg

City Avg: 34.1 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Westerly, RI (1079 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Main (42 Years) 42 Yrs

Westerly Specialty Average (34.1 Years) 34.1 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	167	158	$775.10	$171.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	91	89	$526.14	$128.78
99291 Critical care, first 30-74 minutes	19	19	$855.26	$209.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	156	147	$736.47	$175.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	121	110	$501.86	$131.27
99291 Critical care, first 30-74 minutes	15	14	$814.73	$214.94
99238 Hospital discharge day management, 30 minutes or less	12	12	$266.00	$81.76
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$372.00	$83.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	146	144	$702.92	$201.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	95	90	$477.52	$137.58
99219 Hospital observation care, typically 50 minutes	19	19	$470.00	$134.58
99238 Hospital discharge day management, 30 minutes or less	17	17	$254.53	$73.19
99220 Hospital observation care, typically 70 minutes	16	16	$636.00	$181.63
99291 Critical care, first 30-74 minutes	14	14	$773.00	$223.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	165	151	$640.21	$204.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	100	$432.25	$139.67
99238 Hospital discharge day management, 30 minutes or less	18	18	$229.11	$74.28
99291 Critical care, first 30-74 minutes	17	17	$720.18	$226.28
99219 Hospital observation care, typically 50 minutes	15	14	$424.40	$137.87
99220 Hospital observation care, typically 70 minutes	13	13	$583.08	$186.58
99218 Hospital observation care typically 30 minutes	12	11	$316.33	$100.94
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$320.73	$103.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	156	146	$607.00	$210.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	89	87	$412.13	$143.74
99219 Hospital observation care, typically 50 minutes	30	30	$406.00	$141.67
99291 Critical care, first 30-74 minutes	23	22	$664.04	$231.45
99238 Hospital discharge day management, 30 minutes or less	14	14	$218.29	$76.40
99220 Hospital observation care, typically 70 minutes	12	12	$547.75	$193.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	177	169	$577.29	$208.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	103	$391.95	$141.38
99219 Hospital observation care, typically 50 minutes	32	32	$390.06	$140.23
99291 Critical care, first 30-74 minutes	22	22	$639.91	$229.53
99220 Hospital observation care, typically 70 minutes	13	13	$527.00	$191.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	219	193	$548.71	$209.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	83	79	$371.67	$141.55
99220 Hospital observation care, typically 70 minutes	40	39	$497.50	$192.96
99291 Critical care, first 30-74 minutes	36	34	$614.67	$229.97
99219 Hospital observation care, typically 50 minutes	34	34	$366.94	$140.87
99238 Hospital discharge day management, 30 minutes or less	11	11	$195.64	$75.79
99218 Hospital observation care typically 30 minutes	11	11	$269.73	$103.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	157	152	$524.91	$204.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	98	$356.33	$137.88
99219 Hospital observation care, typically 50 minutes	35	35	$350.74	$136.86
99220 Hospital observation care, typically 70 minutes	30	30	$480.80	$187.46
99291 Critical care, first 30-74 minutes	21	21	$579.67	$224.48
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$263.43	$102.30
99218 Hospital observation care typically 30 minutes	18	18	$260.67	$100.39
99238 Hospital discharge day management, 30 minutes or less	14	14	$183.64	$73.26

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CT 031865

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001318650 (CT)

Hospital & Practice Group Affiliations

Hospital Medicine Associates Llc

25 Wells St, Westerly, RI 028912922

Phone: 4013483325

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 05, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2015

Registered at 6 REED DR, WESTERLY, RI 028913934 (Tel: 4015801788)

📍

Updated Business Mailing Address May 05, 2015

Registered at 6 REED DR, WESTERLY, RI 028913934 (Tel: 4015801788)

👤

Provider Name / Credentials Updated May 05, 2015

Recorded as ROY MAIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2015

Internal Medicine (License #031865 in CT)

🟢

Initial NPI Registration & Enumeration December 13, 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: 1750442794

Entity Type:

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

Enumeration Date: December 13, 2006

Last Update: May 05, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6 Reed Dr

Westerly, RI 028913934

Phone: 4015801788

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.