RICHARD E. ROUX M.D.
NPI 1215932983
Radiology - Diagnostic Radiology in Fayetteville, NC
About Richard E. Roux M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD E. ROUX M.D. (NPI 1215932983) is an individual diagnostic radiology provider in Fayetteville, North Carolina, licensed in North Carolina (9300305) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Scotland Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Richard E. Roux 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
4Medicare enrollment records show Richard Roux reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 142 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 38 clinicians in this Medicare group
Wagram, NC 28396
- Reassigned Medicare billing, North Carolina enrollment
- 476 clinicians in this Medicare group
Whiteville, NC 28472
- Reassigned Medicare billing, North Carolina enrollment
- 187 clinicians in this Medicare group
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 60
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Scotland Memorial Hospital
Acute Care Hospitals · Laurinburg, NCCape Fear Valley Medical Center
Acute Care Hospitals · Fayetteville, NCColumbus Regional Healthcare System
Acute Care Hospitals · Whiteville, NCBetsy Johnson Regional Hospital
Acute Care Hospitals · Dunn, NCCape Fear Valley Hoke Hospital
Acute Care Hospitals · Raeford, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Richard Roux's NPI number?
The NPI number for Richard Roux is 1215932983. It was assigned to this individual provider in the NPPES registry on June 17, 2005.
Where is Richard Roux located?
Richard Roux practices at 3186 Village Dr 201, Fayetteville, NC 28304. The listed phone number is (910) 486-5700.
What is Richard Roux's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Richard Roux enrolled in Medicare?
Yes. Richard Roux 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 Richard Roux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Roux reassigns Medicare benefits to 4 organizations: Valley Radiology P A (Fayetteville, NC), Cumberland County Hospital System Inc (Fayetteville, NC), Scotland Memorial Hospital, Inc (Wagram, NC) and Columbus Regional Healthcare System (Whiteville, 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 Richard Roux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Roux accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 3 other insurers list Richard Roux 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 Richard Roux affiliated with any hospitals?
According to CMS data, Richard Roux is affiliated with Scotland Memorial Hospital, Cape Fear Valley Medical Center, Columbus Regional Healthcare System, Betsy Johnson Regional Hospital and Cape Fear Valley Hoke Hospital.
When was this NPI record last updated?
The NPPES record for Richard Roux was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.