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DR. SERGE E DEPRET-GUILLAUME M.D.
NPI 1063488534
Family Medicine in Roanoke, VA

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4910 VALLEY VIEW BLVD NW, ROANOKE, VA 24012(540) 265-4210(540) 265-4219 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 28, 2023, Apr 12, 2022, Jan 4, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Serge E Depret-guillaume M.d. NPPES

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

DR. SERGE E DEPRET-GUILLAUME M.D. (NPI 1063488534) is an individual family medicine provider in Roanoke, Virginia, licensed in Virginia (0101048363) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and maintains a secondary practice location in Roanoke.

NPPES Registry Identity

NPI1063488534
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SERGE E DEPRET-GUILLAUMECredential: M.D.
Location Address4910 VALLEY VIEW BLVD NWRoanoke, VA 24012-2040
Mailing Address2000 Health Park Dr Fl Hp2Brentwood, TN 37027-4692 · (615) 373-7600
Phone(540) 265-4210
Fax(540) 265-4219
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1991
Enumeration DateFebruary 24, 2006
Last NPPES UpdateFebruary 28, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1063488534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101048363
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4910 VALLEY VIEW BLVD NW, Roanoke, VA 24012
Open in Google Maps ↗

Secondary Practice Location 1

Location 1602 Brandon Ave SW, Suite 222Roanoke, VA 24015-3212 · Phone (540) 774-0000 · Fax (540) 774-0085

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

Dr. Serge E Depret-guillaume M.d. 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 ID9931272853
PECOS Enrollment IDI20080724000677
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
220 services159 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services90 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
93 services93 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
47 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24012 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
93%1,447 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%906 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims20 services$4.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

SAMANTHA SMART FNP
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
LEWIS-GALE PHYSICIANS, LLC
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
HEATHER MICHELLE BALL PA-C
Physician Assistant
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. LARRY PATTON MD
Dermatology
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1604
DR. JOSHUA SCHUYLER SLAKMAN DO
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
DR. JOHN DAUGHERTY M.D.
Family Medicine
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 265-1607
LAVONNE PRUITT FNP
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW, SUITE 310
ROANOKE, VA 24012
Roanoke City (540) 362-0360
DR. KAYLA TREVILLIAN DNP, FNP-C
Nurse Practitioner (Family)
4910 VALLEY VIEW BLVD NW
ROANOKE, VA 24012
Roanoke City (540) 362-0360

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 Serge Depret-guillaume's NPI number?

The NPI number for Serge Depret-guillaume is 1063488534. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Serge Depret-guillaume located?

Serge Depret-guillaume practices at 4910 Valley View Blvd NW, Roanoke, VA 24012. The listed phone number is (540) 265-4210.

What is Serge Depret-guillaume's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Serge Depret-guillaume enrolled in Medicare?

Yes. Serge Depret-guillaume 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.

Is Serge Depret-guillaume affiliated with any hospitals?

According to CMS data, Serge Depret-guillaume is affiliated with Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Serge Depret-guillaume was last updated on February 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.