PRAVEEN ROY (MD) – Gastroenterology Physician, NPI 1215958459
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24 GASTROENTEROLOGY in AK
Provider Addresses for PRAVEEN ROY (MD)
2841 DEBARR RD STE 50
ANCHORAGE, AK 995082945
Phone: (907) 276-2811
Fax: (907) 276-2810
Type: Mailing
Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States
MARSHFIELD, WI 544495703
Phone: (715) 387-5211
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $254.
Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Boston Scientific Corporation ($110).
Total Amount
$254
General + Research + Ownership
Payments
4
Total payment records
General Amount
$254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $110 |
| Gilead Sciences, Inc. | $73 |
| ABBVIE INC. | $54 |
| NESTLE HEALTHCARE NUTRITION INC. | $16 |
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: 2020-06-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050207000118 | I | Gastroenterology | NM | TBD |
| I20200609002908 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 108 | 106 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 87 | 87 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 46 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 54 | 54 | $0 |
Insurance plans in this area (ZIP 99508)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | AK | |
| E N D O C R I N O L O G Y | AK | |
| - | AK | |
| Gastroenterology, Internal Medicine | AK | |
| Gastroenterology, Internal Medicine | AK | |
| G A S T R O E N T E R O L O G Y | AK | |
| Gastroenterology, Infectious Disease, Internal Medicine | AK |
Reviews
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