DR. THOMAS A ROISUM (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1528171964

DR. THOMAS A ROISUM (MD) is a healthcare provider. based in Tyrone, Pennsylvania. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 36424 (IA). The NPI Number for DR. THOMAS A ROISUM (MD) is 1528171964

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS A ROISUM (MD)
NPI
1528171964
Phone
(814) 684-1255
Address
187 Hospital Dr
Enumeration Date
17 August 2006
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
5805367400
Graduation Year
1995 (31 years ago)
PAC ID
0345347753
Group Practice PAC ID
2668421389
Professional Enrollment ID
I20220516002777
Address ID
OK735058331LA4208XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:19State licenses:4Digital endpointsOther names

897 PATHOLOGY in PA

Provider Addresses for DR. THOMAS A ROISUM (MD)

  • 187 Hospital Dr

    Tyrone, PA 166866759

    Phone: (814) 684-1255

    Fax: (814) 684-6395

    Type: Location

  • 1225 Warm Springs Ave

    Huntingdon, PA 166526759

    Phone: (814) 643-8632

    Fax: (814) 643-8633

    Type: Location

  • 100 Hospital Ave

    DuBois, PA 158016759

    Phone: (814) 375-3238

    Fax: (814) 375-3585

    Type: Location

  • 2305 37th Ave SW

    Minot, ND 587017669

    Phone: (701) 857-5000

    Type: Location

  • 1 Burdick Expy W

    Minot, ND 587014406

    Phone: (701) 857-5214

    Fax: (701) 857-5021

    Type: Location

  • 6470 INTERSTATE CT

    HANNIBAL, MO 634016759

    Phone: (573) 248-0826

    Fax: (573) 221-2252

    Type: Location

  • 261, Hummingbird Lane, Hannibal, Marion County, Missouri, 63401, United States

    HANNIBAL, MO 634016931

    Phone: (573) 231-0130

    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.

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: 2025-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220516002777IPathologyOKTBD
I20250124002198IPathologySDTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity1,634688$0
88341Special stained specimen slides to examine tissue, each additional procedure24756$0
88312Special stained specimen slides to identify organisms including interpretation and report229175$0
88342Special stained specimen slides to examine tissue, initial procedure11393$0
88307Pathology examination of tissue using a microscope, moderately high complexity7254$0
View full utilization report →

Insurance plans in this area (ZIP 16686)

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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: 2668421389View full group profile
NameSpecialtyState
P A T H O L O G YMO
P A T H O L O G YMO
P A T H O L O G YTX
P A T H O L O G YMO
P A T H O L O G YLA
Pathology, HematologyNC
P A T H O L O G YMO
P A T H O L O G YTX
P A T H O L O G YKS
P A T H O L O G YKS

Reviews

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Frequently asked questions

Where can patients find DR. THOMAS A ROISUM (MD)'s NPI?
You can confirm DR. THOMAS A ROISUM (MD) with NPI 1528171964; it appears in the national provider directory.
Does this profile mean DR. THOMAS A ROISUM (MD) is currently active?
Yes — DR. THOMAS A ROISUM (MD) appears active in the national provider directory.
What kind of provider is DR. THOMAS A ROISUM (MD)?
The page reflects Anatomic Pathology & Clinical Pathology Physician for DR. THOMAS A ROISUM (MD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. THOMAS A ROISUM (MD)?
The snapshot lists Tyrone, Pennsylvania for DR. THOMAS A ROISUM (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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