DR. ROY SCOTT SMALL M.D.
NPI 1235106410
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Lancaster, PA

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment
217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTH, LANCASTER, PA 17603(717) 544-8300(717) 544-8265 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Roy Scott Small M.d. NPPES

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

DR. ROY SCOTT SMALL M.D. (NPI 1235106410) is an individual advanced heart failure and transplant cardiology provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD045288E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Saint Louis University School Of Medicine (1979).

NPPES Registry Identity

NPI1235106410
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. ROY SCOTT SMALLCredential: M.D.
Location Address217 HARRISBURG AVE, THE HEART GROUP OF LGHEALTHLancaster, PA 17603-2964
Mailing Address217 Harrisburg Ave, The Heart Group Of LghealthLancaster, PA 17603-2964 · (717) 544-8300 · Fax (717) 544-8265
Fax(717) 544-8265
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1979
Enumeration DateMarch 7, 2006
Last NPPES UpdateMay 8, 2017
NPI 1235106410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in PA · MD045288E
Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD045288E (PA)
217 HARRISBURG AVE, Lancaster, PA 17603

Other Identifiers 3

Medicaid0011990860003PA
Medicare UPINC88961PA
Medicare PIN431806PA

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. Roy Scott Small 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 ID1052214293
PECOS Enrollment IDI20040127000953
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 5

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.
306 services200 patients
Evaluation of implantable heart and blood vessel monitoring system 93290
An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.
94 services70 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
50 services44 patients
Remote monitoring of pulmonary artery pressure sensor, up to 30 days 93264
Remote monitoring of pulmonary artery pressure is a procedure where a sensor, placed in your lung artery, transmits data about your heart's function for up to 30 days. This helps doctors monitor your heart health remotely, ensuring timely intervention if needed.
33 services15 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services20 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
217 HARRISBURG AVE, SUITE 200
LANCASTER, PA 17603
Nurse Practitioner (Family)
217 HARRISBURG AVE
LANCASTER, PA 17603
Nurse Practitioner (Critical Care Medicine)
217 HARRISBURG AVE
LANCASTER, PA 17603
Nurse Practitioner (Family)
217 HARRISBURG AVE, SUITE 200
LANCASTER, PA 17603
Nurse Practitioner (Family)
217 HARRISBURG AVE, SUITE 200
LANCASTER, PA 17603
Internal Medicine (Cardiovascular Disease)
217 HARRISBURG AVE, THE HEART GROUP, LTD.
LANCASTER, PA 17603
Nurse Practitioner (Adult Health)
217 HARRISBURG AVE
LANCASTER, PA 17603
Nurse Practitioner (Family)
217 HARRISBURG AVE, THE HEART GROUP, LTD.
LANCASTER, PA 17603

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 Roy Small's NPI number?

The NPI number for Roy Small is 1235106410. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Roy Small located?

Roy Small practices at 217 Harrisburg Ave The Heart Group Of Lghealth, Lancaster, PA 17603. The listed phone number is (717) 544-8300.

What is Roy Small's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Roy Small enrolled in Medicare?

Yes. Roy Small 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 Roy Small affiliated with any hospitals?

According to CMS data, Roy Small is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Roy Small was last updated on May 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.