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E. P. ROY III M.D.
NPI 1164485397
Psychiatry & Neurology - Neurology in State College, PA

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
2121 OLD GATESBURG RD, SUITE 100, STATE COLLEGE, PA 16803(814) 231-6868(814) 231-1581 Get Directions Write a Review

NPPES record last updated: October 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About E. P. Roy Iii M.d. NPPES

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

E. P. ROY III M.D. (NPI 1164485397) is an individual neurology provider in State College, Pennsylvania, licensed in Pennsylvania (MD033372E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Pennsylvania State University College Of Medicine (1983).

NPPES Registry Identity

NPI1164485397
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameE. P. ROY IIICredential: M.D.
Location Address2121 OLD GATESBURG RD, SUITE 100State College, PA 16803-2290
Mailing Address2121 Old Gatesburg Rd, Suite 100State College, PA 16803-2290 · (814) 231-6868 · Fax (814) 231-1581
Phone(814) 231-6868
Fax(814) 231-1581
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1983
Enumeration DateApril 10, 2006
Last NPPES UpdateOctober 30, 2018
✔ NPI 1164485397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in PA · MD033372E
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2121 OLD GATESBURG RD, State College, PA 16803
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Other Names 1

Other Name (5)Emile P. Roy M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

E. P. Roy Iii 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 ID4981749157
PECOS Enrollment IDI20100301000023
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 10

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
247 services145 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.
158 services138 patients
Nerve conduction, 3-4 studies 95908
Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.
64 services64 patients
Nerve conduction, 5-6 studies 95909
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.
52 services52 patients
Nerve conduction, 7-8 studies 95910
Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.
45 services45 patients
Needle measurement of electrical activity in arm or leg muscles, limited study 95885
This procedure, known as an electromyography (EMG), involves placing tiny needles into your arm or leg muscles to measure their electrical activity. It's a limited study, meaning only specific muscles are tested. This helps identify any muscle or nerve dysfunction.
36 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 4

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

VICTORIA D CASE PA-C
Physician Assistant
2121 OLD GATESBURG RD, SUITE 100
STATE COLLEGE, PA 16803
Centre County (814) 231-6868
LEONIE S VACHON NP
Nurse Practitioner
2121 OLD GATESBURG RD
STATE COLLEGE, PA 16803
Centre County (814) 231-7277
BRIAN A. HYMAN M.D.
Psychiatry & Neurology (Neurology)
2121 OLD GATESBURG RD, SUITE 100
STATE COLLEGE, PA 16803
Centre County (814) 231-6868
LESLIE MCDOUGALL DO
Psychiatry & Neurology (Neurology)
2121 OLD GATESBURG RD, STE 100
STATE COLLEGE, PA 16803
Centre County (814) 231-6868

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 E. Roy's NPI number?

The NPI number for E. Roy is 1164485397. It was assigned to this individual provider in the NPPES registry on April 10, 2006. The provider is also known as Emile P. Roy M.D..

Where is E. Roy located?

E. Roy practices at 2121 Old Gatesburg Rd Suite 100, State College, PA 16803. The listed phone number is (814) 231-6868.

What is E. Roy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is E. Roy enrolled in Medicare?

Yes. E. Roy 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 E. Roy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list E. Roy 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 E. Roy affiliated with any hospitals?

According to CMS data, E. Roy is affiliated with Upmc Altoona and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for E. Roy was last updated on October 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.