DR. GARY T ROOME (MD) – Family Medicine Physician, NPI 1376534396

DR. GARY T ROOME (MD) is a healthcare provider. based in Flint, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301045407 (MI). The NPI Number for DR. GARY T ROOME (MD) is 1376534396

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY T ROOME (MD)
NPI
1376534396
Phone
(810) 406-4246
Address
225 E 5TH ST
Enumeration Date
31 October 2005
Last Update Date
8 January 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8107899141
Graduation Year
1980 (46 years ago)
PAC ID
8921101486
Group Practice PAC ID
1254249196
Professional Enrollment ID
I20070321000499
Address ID
MI485054452FL2900XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. GARY T ROOME (MD)

  • East 5th Street, East Village Neighborhood, Flint, Genesee County, Michigan, 48503, United States

    SUITE 300

    FLINT, MI 485021641

    Phone: (810) 406-4246

    Fax: (810) 424-6029

    Type: Mailing

  • 3375, South Saginaw Street, Flint, Genesee County, Michigan, 48503, United States

    BURTON, MI 48529

    Phone: (810) 743-6830

    Fax: (810) 743-7086

    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 $1,010.

Total Amount is formed as General ($1,010) + Research ($0) + Ownership ($0) = $1,010.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($311).

Total Amount

$1,010

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,010

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-03-21

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
I20070321000499IFamily PracticeMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48502)

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Provider's Procedures

DR. GARY T ROOME (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI81002Urinalysis, manual test1818

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: 1254249196View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Nurse PractitionerMI
Internal MedicineMI
Internal Medicine, Family PracticeMI
Physician AssistantMI
P O D I A T R YMI
Family PracticeMI
Physician AssistantMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the registry number for DR. GARY T ROOME (MD)?
The registry entry for DR. GARY T ROOME (MD) shows NPI 1376534396.
Is DR. GARY T ROOME (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. GARY T ROOME (MD) as active.
What services align with DR. GARY T ROOME (MD)'s listing?
DR. GARY T ROOME (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. GARY T ROOME (MD) tied to Flint, Michigan?
If you are local to Flint, Michigan, DR. GARY T ROOME (MD) may be relevant to your search.
Why is information missing for DR. GARY T ROOME (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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