Active NPI 1922157809 Individual Practitioner Male Practitioner

Dr. Roy D Gerard , MD

Internal Medicine - Nephrology • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Roy Gerard, MD is a registered healthcare professional specializing in Internal Medicine - Nephrology in Tyler, TX. Practice services are available at 1133 MEDICAL DR under active NPI credentials.

Frequently performed procedures and clinical services include home dialysis services per month, patient 20 years of age or older, established patient outpatient office visit, dialysis services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1133 Medical Dr

Tyler, TX 757012130

Telephone 9035955486

Fax 9035955128

Associated Practice Facility / Clinic

🏢 Tyler Nephrology Associates, P.a. Facility NPI 1942360326

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Tyler, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 27.8 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

19 Specialists

Practicing in Tyler, TX (1192 Statewide)

Telehealth Adoption Rate

57.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

45.2% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90966 Home dialysis services per month, patient 20 years of age or older	48	18	$475.00	$273.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	44	$200.00	$99.25
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	41	25	$600.00	$334.71
99213 Established patient office or other outpatient visit, typically 15 minutes	36	30	$145.00	$67.54
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	13	12	$500.00	$276.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	249	126	$600.00	$337.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	145	$200.00	$96.11
90966 Home dialysis services per month, patient 20 years of age or older	127	27	$475.00	$275.20
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	77	49	$500.00	$281.53
99213 Established patient office or other outpatient visit, typically 15 minutes	74	68	$145.00	$69.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	148	$200.00	$101.02
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	182	85	$600.00	$346.26
90966 Home dialysis services per month, patient 20 years of age or older	139	32	$475.00	$286.98
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	86	55	$500.00	$281.72
99213 Established patient office or other outpatient visit, typically 15 minutes	38	36	$145.00	$77.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$320.00	$152.83
90962 Dialysis services, 1 physician visit per month (20 years or older)	14	11	$375.00	$197.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90970 Dialysis services, per day, less than full month service (20 years or older)	358	20	$12.43	$9.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	293	158	$148.30	$122.60
36415 Insertion of needle into vein for collection of blood sample	196	100	$3.45	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	189	97	$8.74	$7.64
90966 Home dialysis services per month, patient 20 years of age or older	184	39	$367.56	$290.41
83735 Magnesium level	153	76	$7.57	$6.59
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	141	78	$455.44	$350.01
84156 Total protein level, urine	130	94	$3.91	$3.67
82570 Creatinine level to test for kidney function or muscle injury	130	94	$5.56	$5.18
84100 Phosphate level	115	57	$5.28	$4.74
84550 Uric acid level, blood	93	67	$5.20	$4.48
80053 Blood test, comprehensive group of blood chemicals	83	57	$11.73	$10.56
80069 Kidney function blood test panel	65	51	$10.69	$8.25
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	54	42	$337.42	$289.79
82306 Vitamin d-3 level	39	36	$29.40	$29.40
83970 Parathormone (parathyroid hormone) level	37	35	$44.45	$41.28
99213 Established patient office or other outpatient visit, typically 15 minutes	32	31	$117.33	$87.60
82728 Ferritin (blood protein) level	13	12	$15.66	$13.63
90989 Dialysis training, patient helper, completed course	11	11	$590.91	$500.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	544	193	$3.10	$2.97
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	513	187	$8.06	$7.66
83735 Magnesium level	426	146	$7.01	$6.60
84100 Phosphate level	414	145	$4.86	$4.68
84156 Total protein level, urine	392	174	$3.78	$3.62
82570 Creatinine level to test for kidney function or muscle injury	390	174	$5.36	$5.10
80053 Blood test, comprehensive group of blood chemicals	357	146	$11.10	$10.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	186	$107.98	$105.44
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	281	74	$288.88	$280.17
84550 Uric acid level, blood	275	145	$4.79	$4.44
90966 Home dialysis services per month, patient 20 years of age or older	250	61	$242.22	$234.93
90970 Dialysis services, per day, less than full month service (20 years or older)	216	14	$9.12	$7.24
80069 Kidney function blood test panel	107	88	$8.99	$8.51
83970 Parathormone (parathyroid hormone) level	81	63	$42.73	$40.34
80048 Blood test, basic group of blood chemicals (calcium, total)	72	15	$8.46	$8.46
99443 Telephone medical discussion with physician, 21-30 minutes	68	64	$109.12	$104.23
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	66	47	$236.84	$235.09
82306 Vitamin d-3 level	65	57	$31.74	$28.68
82728 Ferritin (blood protein) level	34	30	$14.41	$13.21
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$75.49	$72.64
99442 Telephone medical discussion with physician, 11-20 minutes	26	23	$72.69	$70.63
84443 Blood test, thyroid stimulating hormone (TSH)	22	21	$16.80	$16.74
80061 Blood test, lipids (cholesterol and triglycerides)	20	17	$13.39	$13.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$169.88	$152.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	771	244	$3.05	$2.94
84156 Total protein level, urine	649	230	$4.12	$3.98
82570 Creatinine level to test for kidney function or muscle injury	646	230	$5.84	$5.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	642	229	$8.72	$8.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	252	$107.61	$104.55
83735 Magnesium level	382	151	$7.51	$7.29
80069 Kidney function blood test panel	369	176	$9.73	$9.46
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	359	117	$283.81	$277.25
80053 Blood test, comprehensive group of blood chemicals	322	143	$11.91	$11.47
84100 Phosphate level	320	137	$5.36	$5.14
84550 Uric acid level, blood	317	150	$5.18	$4.90
90970 Dialysis services, per day, less than full month service (20 years or older)	292	24	$8.57	$7.58
90966 Home dialysis services per month, patient 20 years of age or older	272	60	$248.67	$228.89
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	145	70	$241.54	$231.76
83970 Parathormone (parathyroid hormone) level	99	74	$45.86	$44.94
82728 Ferritin (blood protein) level	54	47	$15.61	$14.57
99213 Established patient office or other outpatient visit, typically 15 minutes	45	44	$75.68	$71.60
82306 Vitamin d-3 level	39	30	$32.89	$32.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$165.84	$158.57
84443 Blood test, thyroid stimulating hormone (TSH)	27	23	$18.67	$18.30
80061 Blood test, lipids (cholesterol and triglycerides)	24	22	$15.72	$13.97
86160 Measurement of complement (immune system proteins), antigen,	23	13	$13.33	$13.06
90989 Dialysis training, patient helper, completed course	11	11	$568.18	$492.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	620	314	$3.12	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	583	371	$107.10	$102.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	520	290	$9.89	$9.38
84156 Total protein level, urine	516	297	$4.73	$4.42
82570 Creatinine level to test for kidney function or muscle injury	511	297	$6.66	$6.24
80069 Kidney function blood test panel	460	281	$11.14	$10.51
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	350	102	$284.16	$274.16
90970 Dialysis services, per day, less than full month service (20 years or older)	349	25	$7.86	$7.53
84550 Uric acid level, blood	270	157	$5.72	$5.45
90966 Home dialysis services per month, patient 20 years of age or older	246	51	$260.44	$224.09
83735 Magnesium level	177	122	$8.65	$8.06
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	131	88	$245.00	$230.54
83970 Parathormone (parathyroid hormone) level	130	126	$52.67	$49.94
80053 Blood test, comprehensive group of blood chemicals	108	84	$13.24	$12.67
84100 Phosphate level	98	76	$5.99	$5.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$164.19	$155.26
80061 Blood test, lipids (cholesterol and triglycerides)	32	29	$16.53	$16.20
99213 Established patient office or other outpatient visit, typically 15 minutes	30	25	$71.29	$70.36
82728 Ferritin (blood protein) level	27	22	$17.87	$16.49
82306 Vitamin d-3 level	26	26	$36.55	$35.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	18	$142.07	$139.86
84443 Blood test, thyroid stimulating hormone (TSH)	18	16	$20.75	$20.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use)	1,730	11	$3.88	$3.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	609	381	$106.61	$101.25
90970 Dialysis services, per day, less than full month service (20 years or older)	501	25	$9.00	$7.53
36415 Insertion of needle into vein for collection of blood sample	402	283	$3.12	$2.90
80069 Kidney function blood test panel	386	274	$12.43	$9.78
82570 Creatinine level to test for kidney function or muscle injury	363	277	$7.50	$6.85
84156 Total protein level, urine	363	277	$5.25	$4.86
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	355	262	$11.08	$10.34
90960 Dialysis services, 4 or more physician visits per month (20 years or older)	276	76	$279.79	$273.80
90961 Dialysis services, 2-3 physician visits per month (20 years or older)	252	91	$241.22	$228.83
90966 Home dialysis services per month, patient 20 years of age or older	233	47	$249.23	$226.61
84550 Uric acid level, blood	176	141	$6.36	$4.06
83970 Parathormone (parathyroid hormone) level	153	143	$58.57	$55.13
80076 Liver function blood test panel	73	59	$11.54	$10.99
83735 Magnesium level	63	53	$9.19	$9.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$161.16	$154.96
90962 Dialysis services, 1 physician visit per month (20 years or older)	43	41	$189.03	$174.19
82728 Ferritin (blood protein) level	31	29	$20.03	$18.33
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$70.85	$69.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	11	$24.40	$24.05
85018 Blood count, hemoglobin	18	11	$3.23	$3.17
84443 Blood test, thyroid stimulating hormone (TSH)	17	17	$23.05	$22.59
82306 Vitamin d-3 level	15	14	$37.28	$36.53
80061 Blood test, lipids (cholesterol and triglycerides)	13	11	$18.37	$13.29

Medical Specialties & State Licenses

CMS Verified: 2023-04-20

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX H6825

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License OK 30926

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200214930 A (OK)

Medicaid State Provider ID

129379701 (TX)

Commercial Insurance / Payer ID Railroad Medicare

390004246 (TX)

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Ifeatu Oti , MD

Internal Medicine - Nephrology

NPI 1003087388

Doctor of Medicine (M.D.)

Dr. Nabeel Ahmed , MD

Internal Medicine - Nephrology

NPI 1003965906

Doctor of Medicine (M.D.)

Dr. Mingiziem Emiru , MD

Internal Medicine - Nephrology

NPI 1023167095

Doctor of Medicine (M.D.)

Dr. Charles Orji , MD

Internal Medicine - Nephrology

NPI 1033268628

Doctor of Medicine (M.D.)

Mayra Elizondo , FNP-C

Nurse Practitioner

NPI 1073120762

Family Nurse Practitioner (Certified)

David Beck , PA

Physician Assistant

NPI 1124058524

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active November 29, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location November 29, 2017

Registered at 1133 MEDICAL DR, TYLER, TX 757012130 (Tel: 9035955486)

📍

Updated Business Mailing Address November 29, 2017

Registered at 1133 MEDICAL DR, TYLER, TX 757012130 (Tel: 9035955486)

👤

Provider Name / Credentials Updated November 29, 2017

Recorded as ROY GERARD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2017

Internal Medicine (License #30926 in OK)

✅

NPI Profile Active April 29, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2010

Registered at 1133 MEDICAL DR, TYLER, TX 757012130 (Tel: 9035955486)

📍

Updated Business Mailing Address April 29, 2010

Registered at 1133 MEDICAL DR, TYLER, TX 757012130 (Tel: 9035955486)

👤

Provider Name / Credentials Updated April 29, 2010

Recorded as ROY GERARD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2010

Internal Medicine (License #H6825 in TX)

🟢

Initial NPI Registration & Enumeration January 09, 2007

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: 1922157809

Entity Type:

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

Enumeration Date: January 09, 2007

Last Update: April 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1133 Medical Dr

Tyler, TX 757012130

Phone: 9035955486

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.