DR. ROY GUSE (M.D.) – Orthopaedic Surgery Physician, NPI 1215984356

DR. ROY GUSE (M.D.) is a healthcare provider. based in Lufkin, Texas. specializing in Orthopaedic Surgery Physician. They hold the professional credentials M.D.. They hold a License No. G8605 (TX). The NPI Number for DR. ROY GUSE (M.D.) is 1215984356

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROY GUSE (M.D.)
NPI
1215984356
Phone
(936) 634-8800
Address
208 GASLIGHT BLVD
Enumeration Date
27 May 2006
Last Update Date
15 May 2008

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9366348800
Graduation Year
1983 (43 years ago)
PAC ID
5890710313
Group Practice PAC ID
2163557026
Professional Enrollment ID
I20100317000461
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ROY GUSE (M.D.)

  • 208, Gaslight Boulevard, Lufkin, Angelina County, Texas, 75904, United States

    LUFKIN, TX 759043166

    Phone: (936) 634-8800

    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)

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: 2010-03-17

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
I20100317000461IOrthopedic SurgeryTXTBD

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 75904)

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Provider's Procedures

DR. ROY GUSE (M.D.) performs procedures in Orthopaedic Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYTX20610Aspiration and/or injection of large joint or joint capsule130122

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: 2163557026View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Orthopedic SurgeryKS
Orthopedic SurgeryFL
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physical Medicine And RehabilitationTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

Is DR. ROY GUSE (M.D.) listed with a National Provider Identifier?
Yes — DR. ROY GUSE (M.D.) has NPI 1215984356 on file in the registry.
Is there an active status for DR. ROY GUSE (M.D.)?
For scheduling context, DR. ROY GUSE (M.D.) is shown as active in the registry.
What kind of doctor is DR. ROY GUSE (M.D.)?
DR. ROY GUSE (M.D.) is associated with Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ROY GUSE (M.D.)?
Directory geography for DR. ROY GUSE (M.D.) centers on Lufkin, Texas.
Does DR. ROY GUSE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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