DR. KEVIN JAY ROSCOE (M.D.) – Diagnostic Radiology Physician, NPI 1407931793

DR. KEVIN JAY ROSCOE (M.D.) is a healthcare provider. based in Olympia, Washington. specializing in DIAGNOSTIC RADIOLOGY, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD00036887 (WA). The NPI Number for DR. KEVIN JAY ROSCOE (M.D.) is 1407931793

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN JAY ROSCOE (M.D.)
NPI
1407931793
Phone
(360) 493-4600
Address
3417 ENSIGN RD NE
Enumeration Date
26 October 2006
Last Update Date
23 March 2010

Doctor Profile

Medical School Name
ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Secondary Phone
3604934600
Graduation Year
1993 (33 years ago)
PAC ID
3577634989
Group Practice PAC ID
1254229305
Professional Enrollment ID
I20080612000337
Address ID
WA985065064OL3417XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Loading map...

Provider Addresses for DR. KEVIN JAY ROSCOE (M.D.)

  • 3417, Ensign Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 985065075

    Phone: (360) 493-4600

    Fax: (360) 493-4603

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2008-06-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080612000337IDiagnostic 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
77067Screening mammography653653$0
77063Screening 3d breast mammography653653$0
71046X-ray of chest, 2 views560506$0
71045X-ray of chest, 1 view457397$0
77080Dxa bone density measurement of hip, pelvis, spine393393$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

Loading plans...

Provider's Procedures

DR. KEVIN JAY ROSCOE (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA20610Aspiration and/or injection of large joint or joint capsule1313
DIAGNOSTIC RADIOLOGYWA71010X-ray of chest, 1 view, front493431
DIAGNOSTIC RADIOLOGYWA71250CT scan chest119114
DIAGNOSTIC RADIOLOGYWA73110X-ray of wrist, minimum of 3 views9069
DIAGNOSTIC RADIOLOGYWA73140X-ray of fingers, minimum of 2 views2927
DIAGNOSTIC RADIOLOGYWA73562X-ray of knee, 3 views150103
DIAGNOSTIC RADIOLOGYWA74177CT scan of abdomen and pelvis with contrast194186
DIAGNOSTIC RADIOLOGYWA76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111
DIAGNOSTIC RADIOLOGYWA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1414

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: 1254229305View full group profile
NameSpecialtyState
-WA
Diagnostic RadiologyWA
Diagnostic Radiology, Nuclear MedicineWA
Diagnostic RadiologyMI
Diagnostic RadiologyWA
Diagnostic RadiologyMI
Diagnostic Radiology, Interventional RadiologyWA
-WA
Diagnostic RadiologyWA
Nuclear Medicine, Diagnostic RadiologyWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. KEVIN JAY ROSCOE (M.D.)?
The federal identifier for DR. KEVIN JAY ROSCOE (M.D.) is NPI 1407931793.
Is DR. KEVIN JAY ROSCOE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. KEVIN JAY ROSCOE (M.D.) treat or focus on?
Patients typically see DR. KEVIN JAY ROSCOE (M.D.) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. KEVIN JAY ROSCOE (M.D.) practice in Washington?
You will see Olympia, Washington on file for DR. KEVIN JAY ROSCOE (M.D.) alongside any extra practice locations.
How can I contact DR. KEVIN JAY ROSCOE (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

DR. GARY LEE WOOD (MD)

Diagnostic Radiology Physician
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
NPI: 1992709604

OLYMPIA RADIOLOGISTS, P.S.

Diagnostic Radiology Physician
Ensign Road Northeast, Olympia, Thurston County, Washington, 98506-5049, United States
NPI: 1356340970

THOMAS FRANKLIN PLUMLEY (M.D.)

Diagnostic Radiology Physician
Ensign Road Northeast, Olympia, Thurston County, Washington, 98506-5049, United States
NPI: 1639178247

DR. DONALD RICHARD KLEIN (MD)

Diagnostic Radiology Physician
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
NPI: 1578562088

DR. JOHN CHRISTOPHER EDWARDS (MD)

Diagnostic Radiology Physician
3417, Ensign Road Northeast, Olympia, Thurston County, Washington, 98506, United States
NPI: 1619961570

DR. MARICELA CONTRERAS (M.D.)

Diagnostic Radiology Physician
3417, Ensign Road Northeast, Olympia, Thurston County, Washington, 98506, United States
NPI: 1396736112

DR. LAWRENCE NORTHWOOD BENNETT (MD)

Diagnostic Radiology Physician
33rd Avenue West, Lynnwood, Snohomish County, Washington, 98037, United States
NPI: 1053302547

DR. JAMES GEE BONIFIELD (M.D.)

Diagnostic Radiology Physician
3417, Ensign Road Northeast, Olympia, Thurston County, Washington, 98506, United States
NPI: 1891786109