SAMUEL JONATHAN ROY D D S M D
NPI 1174639983
Plastic Surgery in Salisbury, NC
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Roy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salisbury, NC 28147
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Salisbury, NC 28147
- Reassigned Medicare billing, North Carolina enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NCNovant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCPhysician 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.
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.
SALISBURY, NC 28147
SALISBURY, NC 28147
SALISBURY, NC 28147
SALISBURY, NC 28147
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.
Which organizations bill Medicare for Samuel Roy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Roy reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Salisbury, NC) and Piedmont Plastic & Oral Surgery Center (Salisbury, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Roy accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Samuel 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Samuel Jonathan Roy, D D S M D · NPI 1174639983
Plastic Surgery physician in Salisbury, North Carolina. Individual provider, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1174639983 (Entity type: Individual)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 JAKE ALEXANDER BLVD W, SUITE 103, Salisbury, NC 28147-1384
- **Phone:** (704) 754-2679
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group, LLC (NPI 1346125325, Salisbury, NC); Piedmont Plastic & Oral Surgery Center (NPI 1700092681, Salisbury, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Rochester School Of Medicine And Dentistry, class of 2000
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1174639983) · Data from the CMS NPPES public registry.