ROOSEVELT ALLEN (M.D.) – Urology Physician, NPI 1326050485
Urology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
362 UROLOGY in GA
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Provider Addresses for ROOSEVELT ALLEN (M.D.)
1930 BRANNAN RD
MCDONOUGH, GA 302534310
Phone: (678) 284-4040
Fax: (678) 284-4076
Type: Mailing
500, Medical Center Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States
SUITE 220
LAWRENCEVILLE, GA 30046
Phone: (770) 963-2451
Fax: (770) 962-0017
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,038.
Total Amount is formed as General ($1,038) + Research ($0) + Ownership ($0) = $1,038.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($239).
Total Amount
$1,038
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,038
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2010-12-15
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 |
|---|---|---|---|---|
| I20101215000022 | I | Urology | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 469 | 305 | $0 |
| 81003 | Automated urinalysis test | 352 | 225 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 352 | 207 | $0 |
| 84153 | Psa (prostate specific antigen) measurement, total | 304 | 196 | $0 |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 168 | 20 | $0 |
Insurance plans in this area (ZIP 30253)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Physician Assistant | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA | |
| U R O L O G Y | GA |
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