THERESE ROYS PA-C
NPI 1255361044
Physician Assistant in Cedar Springs, MI

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
14211 WHITE CREEK AVE NE, CEDAR SPRINGS, MI 49319(616) 252-6320(616) 252-6360 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2017, Feb 17, 2017, Nov 2, 2016 (3 updates tracked since 2016).

About Therese Roys Pa-c NPPES

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

THERESE ROYS PA-C (NPI 1255361044) is an individual physician assistant in Cedar Springs, Michigan, licensed in Michigan (5601001999) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1255361044
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESE ROYSCredential: PA-C
Location Address14211 WHITE CREEK AVE NECedar Springs, MI 49319-8168
Mailing Address5900 Byron Center Ave Sw, Attn: Medical AdministrationWyoming, MI 49519-9606
Fax(616) 252-6360
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 1, 20173 updates tracked since enumeration
NPI 1255361044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601001999
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14211 WHITE CREEK AVE NE, Cedar Springs, MI 49319

Accepted 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

Therese Roys Pa-c 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 ID8527006196
PECOS Enrollment IDI20050422001184
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 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 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.
97 services52 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.
40 services34 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49319 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers11 claims12 services$2.18 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 10

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

Nurse Practitioner
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Physician Assistant
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Physician Assistant
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Physical Therapist (Orthopedic)
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Family Medicine
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Registered Nurse (Diabetes Educator)
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Physical Therapy Assistant
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319
Family Medicine (Sports Medicine)
14211 WHITE CREEK AVE NE
CEDAR SPRINGS, MI 49319

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 Therese Roys's NPI number?

The NPI number for Therese Roys is 1255361044. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Therese Roys located?

Therese Roys practices at 14211 White Creek Ave NE, Cedar Springs, MI 49319. The listed phone number is (616) 252-6320.

What is Therese Roys's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Therese Roys enrolled in Medicare?

Yes. Therese Roys 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 Therese Roys accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Therese Roys 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 Therese Roys affiliated with any hospitals?

According to CMS data, Therese Roys is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Therese Roys was last updated on December 1, 2017. 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.