JESS T ROY (D.O.) – Family Medicine Physician, NPI 1003889551
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
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Provider Addresses for JESS T ROY (D.O.)
East 31st Court, Eagle Ridge, Tulsa, Tulsa County, Oklahoma, 74134, United States
SUITE 100
TULSA, OK 741451315
Phone: (918) 743-8200
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 303 Open Payments records for all available years, with a total value of $5,200.
Total Amount is formed as General ($5,200) + Research ($0) + Ownership ($0) = $5,200.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Corium, LLC ($640).
Total Amount
$5,200
General + Research + Ownership
Payments
303
Total payment records
General Amount
$5,200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $640 |
| ABBVIE INC. | $617 |
| Lilly USA, LLC | $403 |
| AstraZeneca Pharmaceuticals LP | $346 |
| PFIZER INC. | $265 |
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: 2004-01-07
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 |
|---|---|---|---|---|
| I20040107000912 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 501 | 166 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 287 | 147 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 267 | 144 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 247 | 138 | $0 |
| 81003 | Automated urinalysis test | 205 | 123 | $0 |
Insurance plans in this area (ZIP 74145)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | MT | |
| - | OK | |
| Physician Assistant | OK | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OK | |
| U R O L O G Y | OK | |
| Orthopedic Surgery | OK | |
| Physician Assistant | OK | |
| Family Practice | OK | |
| - | OK |
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