GREGORY JAMES ROSCOE (DMD, MD) – Otolaryngology Physician, NPI 1124109335

GREGORY JAMES ROSCOE (DMD, MD) is a healthcare provider. based in Du bois, Pennsylvania. specializing in OTOLARYNGOLOGY. They hold the professional credentials DMD, MD. They hold a License No. MD038440L (PA). The NPI Number for GREGORY JAMES ROSCOE (DMD, MD) is 1124109335

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY JAMES ROSCOE (DMD, MD)
NPI
1124109335
Phone
(814) 375-0455
Address
871 BEAVER DR
Enumeration Date
17 October 2006
Last Update Date
23 July 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8143750455
Graduation Year
1976 (50 years ago)
PAC ID
8022098920
Group Practice PAC ID
0749260735
Professional Enrollment ID
I20040816000606
Address ID
PA158012511DU871XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

641 OTOLARYNGOLOGY in PA

Provider Addresses for GREGORY JAMES ROSCOE (DMD, MD)

  • 871 BEAVER DR

    DU BOIS, PA 158012511

    Phone: (814) 375-0455

    Fax: (814) 375-2721

    Type: Location

  • 871, Beaver Drive, DuBois, Clearfield County, Pennsylvania, 15801, United States

    PO BOX 308

    DUBOIS, PA 158010308

    Phone: (814) 375-0455

    Fax: (814) 375-2721

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $3,973.

Total Amount is formed as General ($3,973) + Research ($0) + Ownership ($0) = $3,973.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Stryker Corporation ($2,615).

Total Amount

$3,973

General + Research + Ownership

Payments

27

Total payment records

General Amount

$3,973

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-08-16

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
I20040816000606IOtolaryngologyPATBD

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
95165Professional service for preparation and provision of 1 or more antigens4,288178$0
95004Test for allergy using allergenic extract3,48251$0
95115Professional service for single injection of allergen1,689115$0
99213Established patient office or other outpatient visit, 20-29 minutes519380$0
69210Removal of impacted ear wax488347$0
View full utilization report →

Insurance plans in this area (ZIP 15801)

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Provider's Procedures

GREGORY JAMES ROSCOE (DMD, MD) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYPA92567Eardrum testing using ear probe219179

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: 0749260735View full group profile
NameSpecialtyState
Nurse PractitionerPA

Reviews

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Frequently asked questions

Is there an official ID for GREGORY JAMES ROSCOE (DMD, MD) in U.S. healthcare records?
The official identifier for GREGORY JAMES ROSCOE (DMD, MD) is NPI 1124109335.
Is GREGORY JAMES ROSCOE (DMD, MD) still an active registrant?
GREGORY JAMES ROSCOE (DMD, MD) carries an active NPI according to the public dataset.
How would a patient describe GREGORY JAMES ROSCOE (DMD, MD)'s focus?
For GREGORY JAMES ROSCOE (DMD, MD), the primary taxonomy reads as Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Is GREGORY JAMES ROSCOE (DMD, MD) located near Du Bois?
GREGORY JAMES ROSCOE (DMD, MD) currently maps to Du Bois, Pennsylvania in this extract.
When was this NPI issued?
Enumeration for GREGORY JAMES ROSCOE (DMD, MD) is noted as October 17, 2006 where the registry provides it.

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