Dr Randall James Roy, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Montgomery, Ohio. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
10663 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 347-9999.
Dr Randall James Roy is licensed to practice in Ohio (license number 35.121560) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306001383.
Physician's Profile
Full Name | Dr Randall James Roy |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 16 Years |
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Location | 10663 Montgomery Rd, Montgomery, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Randall James Roy graduated from medical school in 2008
NPI Data:
- NPI Number: 1306001383
- Provider Enumeration Date: 07/18/2008
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628210762
- Enrollment ID: I20230228001766
Medical Identifiers
Medical identifiers for Dr Randall James Roy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306001383 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207XX0005X | Orthopaedic Surgery - Sports Medicine | 35.121560 (Ohio) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern California Permanente Medical Group | 6002729175 | 8172 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Randall James Roy allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Randall James Roy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Randall James Roy, MD 10663 Montgomery Rd, Montgomery, OH 45242-4403 Ph: (513) 347-9999 | Dr Randall James Roy, MD 10663 Montgomery Rd, Montgomery, OH 45242-4403 Ph: (513) 347-9999 |
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