ROY L STURDIVANT (CRNA) – Certified Registered Nurse Anesthetist, NPI 1316945199
Certified Registered Nurse Anesthetist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX
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Provider Addresses for ROY L STURDIVANT (CRNA)
4500, Summerhill Road, Texarkana, Bowie County, Texas, 75503, United States
TEXARKANA, TX 755032740
Phone: (903) 792-8888
Fax: (903) 792-8984
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 13 Open Payments records for all available years, with a total value of $200.
Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($118).
Total Amount
$200
General + Research + Ownership
Payments
13
Total payment records
General Amount
$200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $118 |
| Takeda Pharmaceuticals U.S.A., Inc. | $47 |
| Merck Sharp & Dohme LLC | $21 |
| Phathom Pharmaceuticals, Inc. | $15 |
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: 2004-03-12
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 |
|---|---|---|---|---|
| I20040312000285 | I | Certified Registered Nurse Anesthetist (Crna) | TX | 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 |
|---|---|---|---|---|
| J2704 | Injection, propofol, 10 mg | 340 | 17 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 51 | 51 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 15 | 15 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 75503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Gastroenterology, Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | UT | |
| Gastroenterology, Internal Medicine | TX | |
| G A S T R O E N T E R O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Nurse Practitioner | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| G A S T R O E N T E R O L O G Y | TX |
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