ROY NIELS SKOUSEN (DO) – Anesthesiology Physician, NPI 1043229354
Anesthesiology Physician
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NPPES metrics only — not quality of care.
1,447 ANESTHESIOLOGY in IN
Provider Addresses for ROY NIELS SKOUSEN (DO)
2401 W University Ave
Muncie, IN 473033428
Phone: (765) 751-2649
Fax: (765) 281-6671
Type: Location
10400 Haligus Rd
Huntley, IL 601429553
Phone: (224) 654-0000
Fax: (224) 654-0000
Type: Location
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: (815) 971-7000
Fax: (815) 968-4795
Type: Location
2112 Copperfield
Stillwater, OK 740742187
Phone: (405) 762-1566
Type: Location
2095 Henry Tecklenburg Dr
Charleston, SC 294145733
Phone: (843) 402-1436
Type: Location
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 871442100
Phone: (505) 994-7000
Type: Location
2112, South Copperfield Street, Copperfield Section, Stillwater, Payne County, Oklahoma, 74074, United States
STILLWATER, OK 740742187
Phone: (405) 624-1097
Fax: (405) 624-1556
Type: Mailing
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.
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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: 2025-05-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 8 Medicare enrollment records; no due dates published yet.
Enrollment records
8
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 |
|---|---|---|---|---|
| I20050727000798 | I | Anesthesiology | AZ | TBD |
| I20180309000399 | I | Anesthesiology | NH | TBD |
| I20200929002011 | I | Anesthesiology | MO | TBD |
| I20210329002346 | I | Anesthesiology | NM | TBD |
| I20231208001992 | I | Anesthesiology | OK | TBD |
| I20231218000942 | I | Anesthesiology | IN | TBD |
| I20240711003387 | I | Anesthesiology | IL | TBD |
| I20250506003341 | I | Anesthesiology | SC | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 38 | 37 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 21 | 21 | $0 |
| 00732 | Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope | 14 | 13 | $0 |
Insurance plans in this area (ZIP 47303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MD | |
| Certified Registered Nurse Anesthetist (Crna) | SC | |
| Hematology/Oncology, Internal Medicine | NC | |
| - | SC | |
| H E M A T O L O G Y/ O N C O L O G Y | SC | |
| Internal Medicine, Rheumatology | SC | |
| - | SC | |
| Nurse Practitioner | NC | |
| - | NC | |
| Anesthesiology Assistant | GA |
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