Active NPI 1407212541 Individual Practitioner Female Practitioner

Janice D Roy , NP

Nurse Practitioner • Winchester, VA

Professional Overview & Biography Verified Profile Summary

Janice Roy, NP is a certified Nurse Practitioner practicing in Winchester, VA. With approximately 11 years of clinical experience since graduating from West Virginia University School Of Medicine in 2015, Janice Roy delivers high-quality medical care to the local community at 1880 AMHERST STREET.

Janice Roy maintains professional affiliations with Valley Physician Enterprise Inc, Hampshire Memorial Hospital, Inc., Warren Memorial Hospital, Inc. and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof 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

1880 Amherst Street
Suite 100 And Suite 200

Winchester, VA 226012872

Telephone 5406620306

Fax 8552642066

Associated Practice Facility / Clinic

🏢 Valley Physician Enterprise, Inc. Facility NPI 1366944670

Medicare Profile & Education

Medical School

West Virginia University School Of Medicine

Graduation Year

2015

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Winchester, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.9 yrs vs City Avg

City Avg: 12.9 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

43 Specialists

Practicing in Winchester, VA (1750 Statewide)

Telehealth Adoption Rate

18.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roy (11 Years) 11 Yrs

Winchester Specialty Average (12.9 Years) 12.9 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	640	581	$353.00	$105.32
93000 Routine ekg using at least 12 leads including interpretation and report	610	554	$40.00	$11.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	210	121	$194.00	$64.09
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	146	139	$40.00	$13.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	73	$367.00	$106.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	62	$497.00	$148.99

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	542	459	$352.13	$107.23
93000 Routine ekg using at least 12 leads including interpretation and report	483	413	$48.96	$12.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	177	96	$193.08	$66.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	49	$497.00	$151.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$367.00	$109.73
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$250.00	$76.46

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	565	468	$273.50	$108.62
93000 Routine ekg using at least 12 leads including interpretation and report	503	426	$47.66	$11.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	54	$188.40	$58.24
99442 Telephone medical discussion with physician, 11-20 minutes	28	27	$153.71	$77.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$497.00	$153.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$354.87	$113.75
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$191.08	$77.66

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	522	431	$218.00	$110.80
93000 Routine ekg using at least 12 leads including interpretation and report	466	393	$49.03	$12.55
99442 Telephone medical discussion with physician, 11-20 minutes	51	49	$144.12	$77.31
99213 Established patient office or other outpatient visit, typically 15 minutes	40	40	$149.00	$78.91
99443 Telephone medical discussion with physician, 21-30 minutes	25	25	$207.68	$110.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	269	251	$49.28	$14.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	193	$218.00	$93.74
99442 Telephone medical discussion with physician, 11-20 minutes	41	41	$122.68	$65.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93000 Routine ekg using at least 12 leads including interpretation and report	482	387	$45.29	$14.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	94	$210.00	$92.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	400	333	$102.00	$61.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	76	$155.00	$90.68
99495 Transitional care management services for problem of at least moderate complexity	22	22	$240.00	$138.35
36415 Insertion of needle into vein for collection of blood sample	12	11	$10.00	$2.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	621	517	$102.00	$61.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$155.00	$90.35
G0008 Administration of influenza virus vaccine	14	14	$35.00	$24.99
90662 Influenza vaccine split virus, preservative free	13	13	$54.23	$47.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	13	13	$35.00	$21.41

Medical Specialties & State Licenses

CMS Verified: 2021-09-15

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License VA 0024173035

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Hampshire Memorial Hospital, Inc.

329 Sunrise Blvd, Romney, WV 267574607

Phone: 3048224932

Hampshire Memorial Hospital, Inc.

363 Sunrise Blvd, Romney, WV 267574607

Phone: 3048224561

Valley Physician Enterprise Inc

190 Campus Blvd, Winchester, VA 226012872

Phone: 5406620306

Warren Memorial Hospital, Inc.

351 Valley Health Way, Front Royal, VA 226306480

Phone: 5406360600

Warren Memorial Hospital, Inc.

351 Valley Health Way, Front Royal, VA 226306480

Phone: 5406360300

Secondary Practice Locations

329 Sunrise Blvd

Romney, WV 267574607

Phone: 3048224932

351 Valley Health Way # 200

Front Royal, VA 226306480

Phone: 5406360600

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Internal Medicine - Advanced Heart Failure and Transplant Cardiology

NPI 1003235227

Doctor of Medicine (M.D.)

Dr. Neal Gaither , MD

Internal Medicine - Interventional Cardiology

NPI 1003811563

Doctor of Medicine (M.D.)

Dr. Manish Lakhani , MD

Internal Medicine - Cardiovascular Disease

NPI 1043485964

Doctor of Medicine (M.D.)

Thomas Kidd , PA-C

Physician Assistant

NPI 1053321075

Physician Assistant (Certified)

Amanda Ross , AG-ANCP

Nurse Practitioner - Family

NPI 1073936761

AGANCP

Dr. Poghni Peri-Okonny , MD

Internal Medicine - Interventional Cardiology

NPI 1114293206

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 15, 2021

Registered at 1880 AMHERST STREET, SUITE 100 AND SUITE 200, WINCHESTER, VA 226012872 (Tel: 5406620306)

📍

Updated Business Mailing Address September 15, 2021

Registered at 220 CAMPUS BLVD STE 100, WINCHESTER, VA 226012896 (Tel: 5405365100)

📍

Updated Practice Location February 19, 2019

Registered at 190 CAMPUS BLVD STE 201, WINCHESTER, VA 226012872 (Tel: 5406620306)

✅

NPI Profile Active January 05, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2016

Registered at 104 SELMA DR, WINCHESTER, VA 226013834 (Tel: 5406782800)

📍

Updated Business Mailing Address January 05, 2016

Registered at 104 SELMA DR, WINCHESTER, VA 226013834 (Tel: 5406782800)

👤

Provider Name / Credentials Updated January 05, 2016

Recorded as JANICE ROY, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2016

Nurse Practitioner (License #0024173035 in VA)

🟢

Initial NPI Registration & Enumeration January 05, 2016

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: 1407212541

Entity Type:

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

Enumeration Date: January 05, 2016

Last Update: September 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

220 Campus Blvd Ste 100

Winchester, VA 226012896

Phone: 5405365100

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.