DR. THOMAS A ROISUM (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1528171964
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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.
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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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220516002777 | I | Pathology | OK | TBD |
| I20250124002198 | I | Pathology | SD | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,634 | 688 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 247 | 56 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 229 | 175 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 113 | 93 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 72 | 54 | $0 |
Insurance plans in this area (ZIP 16686)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | LA | |
| Pathology, Hematology | NC | |
| P A T H O L O G Y | MO | |
| P A T H O L O G Y | TX | |
| P A T H O L O G Y | KS | |
| P A T H O L O G Y | KS |
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