DR. ROY WILLIS JR. MINER (M.D.) – Emergency Medicine Physician, NPI 1295937654

DR. ROY WILLIS JR. MINER (M.D.) is a healthcare provider. based in Evansville, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01064362A (IN). The NPI Number for DR. ROY WILLIS JR. MINER (M.D.) is 1295937654

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROY WILLIS JR. MINER (M.D.)
NPI
1295937654
Phone
Not provided
Address
PO BOX 3395
Enumeration Date
5 June 2007
Last Update Date
24 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2519493540
Graduation Year
2006 (20 years ago)
PAC ID
7719076637
Group Practice PAC ID
5395105183
Professional Enrollment ID
I20210212001720
Address ID
AL365352247FO1613XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,266 EMERGENCY MEDICINE in IN

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Provider Addresses for DR. ROY WILLIS JR. MINER (M.D.)

  • Evansville Post office, 402, Water Street, Evansville, Rock County, Wisconsin, 53536, United States

    EVANSVILLE, IN 477323395

    Phone:

    Type: Mailing

  • East Clifty Drive, Madison, Jefferson County, Indiana, 47250, United States

    MADISON, IN 47250

    Phone: (812) 801-0868

    Fax: (812) 801-8070

    Type: Location

  • 400 TAYLOR RD

    MONTGOMERY, AL 361173512

    Phone: (334) 747-8448

    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: 2021-02-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210212001720IEmergency MedicineALTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making308299$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only250217$0
99284Emergency department visit with moderate level of medical decision making119118$0
99291Critical care, first 30-74 minutes4744$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 47732)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395105183View full group profile
NameSpecialtyState
Emergency Medicine, Family Practice, Emergency MedicineMS
Internal MedicineFL
Emergency MedicineWY
Emergency MedicineMS
Emergency MedicineFL
Internal Medicine, Emergency MedicineMS
Emergency Medicine, Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerFL
Family Practice, Emergency MedicineAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ROY WILLIS JR. MINER (M.D.)?
DR. ROY WILLIS JR. MINER (M.D.) — NPI 1295937654 — is the standard way to identify this listing.
Can I rely on DR. ROY WILLIS JR. MINER (M.D.) being an active provider?
As of the registry snapshot, DR. ROY WILLIS JR. MINER (M.D.) is marked active.
What taxonomy line describes DR. ROY WILLIS JR. MINER (M.D.)?
For research purposes, treat DR. ROY WILLIS JR. MINER (M.D.) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. ROY WILLIS JR. MINER (M.D.) based?
DR. ROY WILLIS JR. MINER (M.D.) is tied to Evansville, Indiana in the data we show; additional addresses may exist on the full record.
Why does DR. ROY WILLIS JR. MINER (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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