PETER G ROAN (MD) – Cardiovascular Disease Physician, NPI 1326037342
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PETER G ROAN (MD)
3340 E GOLDSTONE WAY
MERIDIAN, ID 836421026
Phone: (208) 302-0200
Fax: (208) 302-0255
Type: Mailing
4424, East Flamingo Avenue, Nampa, Canyon County, Idaho, 83687, United States
SUITE 300
NAMPA, ID 836879306
Phone: (208) 302-0200
Fax: (208) 302-0255
Type: Location
3310 E RIVERNEST LN
BOISE, ID 837066928
Phone: (208) 869-7700
Type: Mailing
207 1ST ST S
NAMPA, ID 836513703
Phone: (208) 466-7869
Fax: (208) 466-5359
Type: Location
4424 E Flamingo Ave
Suite 300
Nampa, ID 836879306
Phone: (208) 302-0200
Fax: (208) 302-0255
Type: Location
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: 2005-01-28
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 |
|---|---|---|---|---|
| I20050128000228 | I | Interventional Cardiology | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | ID | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 18 | 13 |
| INTERVENTIONAL CARDIOLOGY | ID | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 109 | 100 |
| INTERVENTIONAL CARDIOLOGY | ID | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Qualified Audiologist | ID | |
| Orthopedic Surgery | ID | |
| - | ID | |
| - | UT | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Internal Medicine | ID | |
| Family Practice | ID | |
| - | ID |
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