SAMUEL JONATHAN ROY D D S M D
NPI 1174639983
Plastic Surgery in Salisbury, NC

Active since August 22, 2006PECOS EnrolledAccepts Medicare Assignment
330 JAKE ALEXANDER BLVD W, SUITE 103, SALISBURY, NC 28147(704) 754-2679 Get Directions Write a Review

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

About Samuel Jonathan Roy D D S M D NPPES

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

SAMUEL JONATHAN ROY D D S M D (NPI 1174639983) is an individual plastic surgery provider in Salisbury, North Carolina and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2000).

NPPES Registry Identity

NPI1174639983
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameSAMUEL JONATHAN ROYCredential: D D S M D
Location Address330 JAKE ALEXANDER BLVD W, SUITE 103Salisbury, NC 28147-1384
Mailing Address302 Kingsbridge RoadSalisbury, NC 28144 · (704) 680-3078
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2000
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174639983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

330 JAKE ALEXANDER BLVD W, Salisbury, NC 28147

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

Samuel Jonathan Roy D D S 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 ID3173620085
PECOS Enrollment IDI20070529000279
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.

Hospital Affiliations CMS Care Compare 2

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28147 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 6

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

Otolaryngology
330 JAKE ALEXANDER BLVD W, SUITE 101
SALISBURY, NC 28147
Clinic/Center (Federally Qualified Health Center (FQHC))
330 JAKE ALEXANDER BLVD W, STE 102, 103
SALISBURY, NC 28147
Otolaryngology
330 JAKE ALEXANDER BLVD W, SUITE 101
SALISBURY, NC 28147
Otolaryngology
330 JAKE ALEXANDER BLVD W, SUITE 101
SALISBURY, NC 28147
Specialist
330 JAKE ALEXANDER BLVD W, SUITE 103
SALISBURY, NC 28147
Specialist
330 JAKE ALEXANDER BLVD W, SUITE 104
SALISBURY, NC 28147

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 Samuel Roy's NPI number?

The NPI number for Samuel Roy is 1174639983. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Samuel Roy located?

Samuel Roy practices at 330 Jake Alexander Blvd W Suite 103, Salisbury, NC 28147. The listed phone number is (704) 754-2679.

What is Samuel Roy's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Samuel Roy enrolled in Medicare?

Yes. Samuel 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.

Is Samuel Roy affiliated with any hospitals?

According to CMS data, Samuel Roy is affiliated with Novant Health Rowan Medical Center and Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

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