ALFRED S. ROLLER (MD) – Emergency Medicine Physician, NPI 1497702500

ALFRED S. ROLLER (MD) is a healthcare provider. based in Sunnyside, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. MD00020773 (WA). The NPI Number for ALFRED S. ROLLER (MD) is 1497702500

Main info

Male
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
ALFRED S. ROLLER (MD)
NPI
1497702500
Phone
(509) 837-1500
Address
1016 Tacoma Ave
Enumeration Date
27 May 2006
Last Update Date
9 December 2019

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5098371707
Graduation Year
1981 (45 years ago)
PAC ID
3274574876
Group Practice PAC ID
0941424451
Professional Enrollment ID
I20050513000147
Address ID
WA989442263SU1016XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for ALFRED S. ROLLER (MD)

  • 1016 Tacoma Ave

    Sunnyside, WA 989442263

    Phone: (509) 837-1500

    Fax: (509) 837-1380

    Type: Location

  • Mortgage Express, 505, South 336th Street, Federal Way, King County, Washington, 98003-5402, United States

    SUITE 600

    FEDERAL WAY, WA 980036328

    Phone: (253) 838-6180

    Fax: (253) 838-6418

    Type: Mailing

  • Samaritan Hospital, 801, East Wheeler Road, Moses Lake, Grant County, Washington, 98837, United States

    MOSES LAKE, WA 988371820

    Phone: (509) 766-1301

    Fax: (509) 766-1306

    Type: Location

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: 2005-05-13

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
I20050513000147IEmergency MedicineWATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only146118$0
99285Emergency department visit with high level of medical decision making134115$0
99284Emergency department visit with moderate level of medical decision making5654$0
99291Critical care, first 30-74 minutes3736$0
View full utilization report →

Insurance plans in this area (ZIP 98944)

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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: 0941424451View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineCA
Emergency MedicineWA
-WA
Emergency MedicineWA
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to ALFRED S. ROLLER (MD)?
NPI 1497702500 is assigned to ALFRED S. ROLLER (MD) under the national enumeration system.
Is ALFRED S. ROLLER (MD) active in the national directory?
ALFRED S. ROLLER (MD)'s public NPI profile is in an active state.
Can you summarize ALFRED S. ROLLER (MD)'s specialty in plain language?
Clinically, the directory lists ALFRED S. ROLLER (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ALFRED S. ROLLER (MD)?
We surface Sunnyside, Washington for ALFRED S. ROLLER (MD) based on available NPPES addresses.
Is ALFRED S. ROLLER (MD) a real provider?
This page reflects official NPPES data for NPI 1497702500. Always confirm identity and privileges with the practice and licensing boards.

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