GREGORY D ROEDER PHD
NPI 1063450245
Psychologist - Clinical in Rochester, NY

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
200 WHITE SPRUCE BLVD, SUITE 134, ROCHESTER, NY 14623(585) 427-0270(585) 427-0270 Get Directions Write a Review

NPPES record last updated: April 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gregory D Roeder Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY D ROEDER PHD (NPI 1063450245) is an individual clinical provider in Rochester, New York, licensed in New York (0084561) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1063450245
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameGREGORY D ROEDERCredential: PHD
Location Address200 WHITE SPRUCE BLVD, SUITE 134Rochester, NY 14623-1605
Mailing Address200 White Spruce Blvd, Suite 134Rochester, NY 14623-1605 · (585) 427-0270 · Fax (585) 427-0270
Fax(585) 427-0270
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 2, 2006
Last NPPES UpdateApril 19, 2016
NPI 1063450245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 0084561
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

200 WHITE SPRUCE BLVD, Rochester, NY 14623

Other Identifiers 3

Other010008456NY · Excellus Bcbs Rochester
Other13071NY · Monroe Plan
OtherP100267NY · Preferred Care

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gregory D Roeder Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153750559
PECOS Enrollment IDI20200407000434
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14623 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Vascular Surgery)
200 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Counselor (Mental Health)
200 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Nurse Practitioner (Family)
200 WHITE SPRUCE BLVD, SUITE 220
ROCHESTER, NY 14623
Psychologist (Clinical Child & Adolescent)
200 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Psychologist
200 WHITE SPRUCE BLVD, SUITE 220
ROCHESTER, NY 14623
Radiology (Diagnostic Radiology)
200 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Dentist (General Practice)
200 WHITE SPRUCE BLVD
ROCHESTER, NY 14623
Surgery (Vascular Surgery)
200 WHITE SPRUCE BLVD, SUITE 220
ROCHESTER, NY 14623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Roeder's NPI number?

The NPI number for Gregory Roeder is 1063450245. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Gregory Roeder located?

Gregory Roeder practices at 200 White Spruce Blvd Suite 134, Rochester, NY 14623. The listed phone number is (585) 427-0270.

What is Gregory Roeder's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Gregory Roeder enrolled in Medicare?

Yes. Gregory Roeder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gregory Roeder was last updated on April 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.