MR. ROY MATISON JR. WHITE (M.D.) – Family Medicine Physician, NPI 1023180114
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
495 FAMILY PRACTICE in AK
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Provider Addresses for MR. ROY MATISON JR. WHITE (M.D.)
2211, East Northern Lights Boulevard, Rogers Park, Anchorage, Alaska, 99508, United States
ANCHORAGE, AK 995084103
Phone: (907) 279-8486
Fax: (907) 257-8180
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110121000590 | I | Family Practice | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 117 | 116 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 115 | 114 | $0 |
| 0134A | Adm sarscv2 bvl 50mcg/.5ml a | 48 | 48 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 43 | 43 | $0 |
Insurance plans in this area (ZIP 99508)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | AK | 90670 | Pneumococcal vaccine for injection into muscle | 28 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NM | |
| Family Practice | AK | |
| Family Practice | AK | |
| Family Practice | AK | |
| Physician Assistant | AK | |
| - | AK | |
| Family Practice | FL | |
| Physician Assistant | AK | |
| Physician Assistant | AK | |
| Family Practice, General Practice | AK |
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