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DR. ROLAND JAYSON FORMOSO PUA MD
NPI 1215009782
Internal Medicine - Geriatric Medicine in Las Vegas, NV

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
9460 W FLAMINGO RD, SUITE 120, LAS VEGAS, NV 89147(702) 638-7705(702) 638-7706 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Roland Jayson Formoso Pua Md NPPES

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

DR. ROLAND JAYSON FORMOSO PUA MD (NPI 1215009782) is an individual geriatric medicine provider in Las Vegas, Nevada, licensed in Nevada (12103) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1215009782
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. ROLAND JAYSON FORMOSO PUACredential: MD
Location Address9460 W FLAMINGO RD, SUITE 120Las Vegas, NV 89147-5742
Mailing Address11794 Longworth RdLas Vegas, NV 89135-1323
Phone(702) 638-7705
Fax(702) 638-7706
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1215009782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in NV · 12103✔ Licensed in AZ · 67340✔ Licensed in OR · MD202126✔ Licensed in CA · C175306✔ Licensed in ID · 15963
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

9460 W FLAMINGO RD, Las Vegas, NV 89147
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Secondary Practice Locations 2

Location 1781 Mill StReno, NV 89502-1320 · Phone (775) 398-1980 · Fax (775) 398-1981
Location 21144 65th St Ste FOakland, CA 94608-1053 · Phone (510) 929-1400 · Fax (510) 929-1414

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Dr. Roland Jayson Formoso Pua Md 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 ID2961403035
PECOS Enrollment IDI20070117000107
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 7

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 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.
113 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
76 services76 patients
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.
71 services64 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
20 services18 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89147 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
$173.24 typical visit price
range $57.07 – $173.24
Typical copayment $43.31 (range $14.26 – $43.31)
Most-billed visit code 99205
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Reported Quality Measures

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…
95%143 patients4/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims47 services$5.81 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier13 claims91 services$4.48 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$46.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ROCHELLE DOMINGO NP
Nurse Practitioner
9460 W FLAMINGO RD, STE. 120
LAS VEGAS, NV 89147
Clark County (702) 324-4945

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 Roland Jayson Pua's NPI number?

The NPI number for Roland Jayson Pua is 1215009782. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Roland Jayson Pua located?

Roland Jayson Pua practices at 9460 W Flamingo Rd Suite 120, Las Vegas, NV 89147. The listed phone number is (702) 638-7705.

What is Roland Jayson Pua's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Roland Jayson Pua enrolled in Medicare?

Yes. Roland Jayson Pua 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 Roland Jayson Pua accept?

Health plans from Ambetter from Arizona Complete Health list Roland Jayson Pua 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.

When was this NPI record last updated?

The NPPES record for Roland Jayson Pua was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.