DR. BRANDON ROLLER (M.D., PH.D.) – Diagnostic Radiology Physician, NPI 1083813844

DR. BRANDON ROLLER (M.D., PH.D.) is a healthcare provider. based in Centralia, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 210518 (NC). The NPI Number for DR. BRANDON ROLLER (M.D., PH.D.) is 1083813844

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDON ROLLER (M.D., PH.D.)
NPI
1083813844
Phone
(360) 736-0200
Address
910 S Scheuber Rd
Enumeration Date
12 July 2007
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5416867300
Graduation Year
2007 (19 years ago)
PAC ID
0244547164
Group Practice PAC ID
2567364847
Professional Enrollment ID
I20200528002396
Address ID
OR974013718EU1255XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for DR. BRANDON ROLLER (M.D., PH.D.)

  • 910 S Scheuber Rd

    Centralia, WA 985319027

    Phone: (360) 736-0200

    Fax: (360) 736-0380

    Type: Location

  • 700 Lincoln St Ste 100

    Kelso, WA 986261062

    Phone: (360) 425-5131

    Fax: (360) 425-5509

    Type: Location

  • 615, Woodbriar Court, Winston-Salem, Forsyth County, North Carolina, 27106, United States

    WINSTON SALEM, NC 271063761

    Phone: (239) 293-8256

    Type: Mailing

  • Medical Center Boulevard, Ardmore, Winston-Salem, Forsyth County, North Carolina, 27157, United States

    WINSTON SALEM, NC 271570001

    Phone: (336) 716-3465

    Fax: (336) 716-6415

    Type: Location

  • 445 HARLOW RD STE 200

    SPRINGFIELD, OR 974771341

    Phone: (541) 302-7771

    Type: Mailing

  • 1200 HILYARD ST STE 330

    EUGENE, OR 974018110

    Phone: (541) 302-7771

    Fax: (336) 716-6415

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-01-17 • Largest payer in this snapshot: Boston Scientific Corporation ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-17

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: 2024-07-10

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
I20200528002396IDiagnostic RadiologyORTBD
I20240710003158IDiagnostic RadiologyWATBD

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
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml3,06640$0
A9585Injection, gadobutrol, 0.1 ml2,53028$0
71045X-ray of chest, 1 view475425$0
73721Mri scan of leg joint without contrast272199$0
77080Dxa bone density measurement of hip, pelvis, spine269162$0
View full utilization report →

Insurance plans in this area (ZIP 98531)

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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: 2567364847View full group profile
NameSpecialtyState
Diagnostic RadiologyOR
Diagnostic RadiologyWA
Diagnostic RadiologyWA
Diagnostic RadiologyOR
Diagnostic RadiologyGA
Diagnostic RadiologyWA
Diagnostic RadiologyOR
Diagnostic RadiologyMS
Diagnostic RadiologyID
Diagnostic RadiologyOR

Reviews

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Frequently asked questions

Does DR. BRANDON ROLLER (M.D., PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BRANDON ROLLER (M.D., PH.D.) uses 1083813844.
Does the file indicate DR. BRANDON ROLLER (M.D., PH.D.) is practicing under active NPI?
Directory data currently reports DR. BRANDON ROLLER (M.D., PH.D.) as active.
What is DR. BRANDON ROLLER (M.D., PH.D.)'s specialty?
The listing groups DR. BRANDON ROLLER (M.D., PH.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What area does DR. BRANDON ROLLER (M.D., PH.D.) serve?
DR. BRANDON ROLLER (M.D., PH.D.)'s listing highlights Centralia, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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