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DR. CHESTER THEO ROYALS JR. M.D.
NPI 1194974816
Surgery in Douglas, GA

Active since September 18, 2008PECOS EnrolledAccepts Medicare Assignment
100 DOCTORS DR STE C, DOUGLAS, GA 31533(912) 384-5832(912) 383-8279 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Chester Theo Royals Jr. M.d. NPPES

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

DR. CHESTER THEO ROYALS JR. M.D. (NPI 1194974816) is an individual surgery provider in Douglas, Georgia, licensed in Georgia (0) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Coffee Regional Medical Center, Inc, and maintains a secondary practice location in Alma.

NPPES Registry Identity

NPI1194974816
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. CHESTER THEO ROYALS JR.Credential: M.D.
Location Address100 DOCTORS DR STE CDouglas, GA 31533-2211
Mailing Address1100 Ward Street Ext WDouglas, GA 31533-1902
Phone(912) 384-5832
Fax(912) 383-8279
Sole ProprietorYes
Medical School CMSMercer University School Of MedicineGraduated 2008
Enumeration DateSeptember 18, 2008
Last NPPES UpdateMarch 17, 2018
✔ NPI 1194974816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 0
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
100 DOCTORS DR STE C, Douglas, GA 31533
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Secondary Practice Location 1

Location 1204 E 15th StAlma, GA 31510-2908 · Phone (912) 384-5832 · Fax (912) 383-8279

Other Identifiers 2

Medicaid003150454AGA
Other072653GA · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health, Oscar Health.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

Dr. Chester Theo Royals 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 ID1254553613
PECOS Enrollment IDI20141119001943
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.

Medicare Billing Reassignment

Medicare enrollment records show Chester Royals reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crh Physician Practices, LLC
Same address
Multi-Specialty
100 DOCTORS DR STE A
Douglas, GA 31533
  • Reassigned Medicare billing, Georgia enrollment
  • 51 clinicians in this Medicare group
NPI 1710046073 (912) 559-0242

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
55 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Coffee Regional Medical Center, Inc

Acute Care Hospitals · Douglas, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110089
Location1101 Ocilla RoadDouglas, GA 31533 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
40%145 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
50%214 patients3/55-star benchmark: 100%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
38%214 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
31%77 patients2/55-star benchmark: 95%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%35 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,401 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
88%284 patients3/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
66%118 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%466 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%870 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
26%607 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 211 patients
87%111 patients4/55-star benchmark: 98%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
86%111 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%870 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
16%870 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
23%870 patients
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.

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.

DR. ROMULO P NAVARRO MD
Surgery
100 DOCTORS DR STE C
DOUGLAS, GA 31533
Coffee County (912) 384-5832
DR. CHARLES A BAGWELL MD
Surgery
100 DOCTORS DR STE C
DOUGLAS, GA 31533
Coffee County (912) 384-5832
TIMOTHY A HUMPHRIES MD
Surgery (Trauma Surgery)
100 DOCTORS DR STE C
DOUGLAS, GA 31533
Coffee County (912) 384-5832
CRH PHYSICIAN PRACTICES LLC
Surgery
100 DOCTORS DR STE C
DOUGLAS, GA 31533
Coffee County (912) 384-5832

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 Chester Royals's NPI number?

The NPI number for Chester Royals is 1194974816. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Chester Royals located?

Chester Royals practices at 100 Doctors Dr Ste C, Douglas, GA 31533. The listed phone number is (912) 384-5832.

What is Chester Royals's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Chester Royals enrolled in Medicare?

Yes. Chester Royals 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 organization bills Medicare for Chester Royals's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chester Royals reassigns Medicare benefits to Crh Physician Practices, LLC (Douglas, GA). The 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 Chester Royals's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chester Royals accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health and Oscar Health list Chester Royals 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 Chester Royals affiliated with any hospitals?

According to CMS data, Chester Royals is affiliated with Coffee Regional Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Chester Royals was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.