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ROY P BURCH JR. M.D.
NPI 1073516225
Obstetrics & Gynecology in Brentwood, TN

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
343 FRANKLIN RD, STE 108, BRENTWOOD, TN 37027(615) 373-1255(615) 371-9040 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roy P Burch Jr. M.d. NPPES

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

ROY P BURCH JR. M.D. (NPI 1073516225) is an individual obstetrics & gynecology provider in Brentwood, Tennessee, licensed in Tennessee (19435) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Williamson Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1987).

NPPES Registry Identity

NPI1073516225
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROY P BURCH JR.Credential: M.D.
Location Address343 FRANKLIN RD, STE 108Brentwood, TN 37027-5250
Mailing AddressPo Box 440222Nashville, TN 37244-0222 · (615) 690-8100 · Fax (615) 690-8193
Phone(615) 373-1255
Fax(615) 371-9040
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1987
Enumeration DateMay 23, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073516225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TN · 19435
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
343 FRANKLIN RD, Brentwood, TN 37027
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Other Identifiers 1

Medicare UPINE92322TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Roy P Burch Jr. 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 ID8022258763
PECOS Enrollment IDI20130701000480
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 2

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.
72 services53 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
42 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Williamson Medical Center

Acute Care Hospitals · Franklin, TN
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440029
Location4321 Carothers ParkwayFranklin, TN 37067 · Williamson County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37027 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 20

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

ELIZABETH LOUISE MCFARLIN MD
Pediatrics
343 FRANKLIN RD, STE 210
BRENTWOOD, TN 37027
Williamson County (615) 373-2248
JOHN M WUERDEMAN DPT
Physical Therapist
343 FRANKLIN RD, STE. 201
BRENTWOOD, TN 37027
Williamson County (615) 376-3556
DR. RONALD HUNTER D.D.S.
Dentist (General Practice)
343 FRANKLIN RD, SUITE 103
BRENTWOOD, TN 37027
Williamson County (615) 373-1313
ELIZABETH A YOUNGBLOOD RN, APN
Registered Nurse
343 FRANKLIN RD, STE 108
BRENTWOOD, TN 37027
Williamson County (615) 373-1255
BRENTWOOD PRIMARY CARE
Family Medicine
343 FRANKLIN RD, SUITE 101
BRENTWOOD, TN 37027
Williamson County (615) 377-3300
MS. ABIGAIL BOWEN JAMES NURSE PRACTITIONER
Nurse Practitioner
343 FRANKLIN RD
BRENTWOOD, TN 37027
Williamson County (615) 377-3448
TENNESSEE OCULOPLASTIC CONSULTANTS, PLC
Ophthalmology
343 FRANKLIN RD, SUITE 204
BRENTWOOD, TN 37027
Williamson County (615) 861-9866
LAUREN K KING CPNP
Nurse Practitioner (Pediatrics)
343 FRANKLIN RD, STE 210
BRENTWOOD, TN 37027
Williamson County (615) 373-2248

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 Roy Burch's NPI number?

The NPI number for Roy Burch is 1073516225. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Roy Burch located?

Roy Burch practices at 343 Franklin Rd Ste 108, Brentwood, TN 37027. The listed phone number is (615) 373-1255.

What is Roy Burch's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Roy Burch enrolled in Medicare?

Yes. Roy Burch 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.

What insurance does Roy Burch accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Roy Burch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Roy Burch affiliated with any hospitals?

According to CMS data, Roy Burch is affiliated with Williamson Medical Center and Ascension Saint Thomas Hospital.

When was this NPI record last updated?

The NPPES record for Roy Burch was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.