DR. MONICA ROY OD, MPH
NPI 1285922559
Optometrist in Columbus, OH

Active since July 20, 2011PECOS EnrolledAccepts Medicare Assignment
338 W 10TH AVE, COLUMBUS, OH 43210(614) 668-0307 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Monica Roy Od, Mph NPPES

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

DR. MONICA ROY OD, MPH (NPI 1285922559) is an individual optometrist in Columbus, Ohio, licensed in Ohio (6068) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2011).

NPPES Registry Identity

NPI1285922559
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MONICA ROYCredential: OD, MPH
Location Address338 W 10TH AVEColumbus, OH 43210-1280
Mailing Address338 W 10th AveColumbus, OH 43210-1280 · (614) 668-0307
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 2011
Enumeration DateJuly 20, 2011
✔ NPI 1285922559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · 6068
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
338 W 10TH AVE, Columbus, OH 43210

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

Dr. Monica Roy Od, Mph 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 ID2264602176
PECOS Enrollment IDI20110901000693
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 Monica Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatrist
740 COMMERCE DR STE A
Perrysburg, OH 43551
  • Reassigned Medicare billing, Ohio enrollment
  • 166 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $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.

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.

Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist (Corneal and Contact Management)
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210
Optometrist
338 W 10TH AVE
COLUMBUS, OH 43210

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 Monica Roy's NPI number?

The NPI number for Monica Roy is 1285922559. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Monica Roy located?

Monica Roy practices at 338 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 668-0307.

What is Monica Roy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Monica Roy enrolled in Medicare?

Yes. Monica Roy 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 Monica Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Roy reassigns Medicare benefits to Mobile Medical, Inc. (Perrysburg, OH). 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 Monica Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Roy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, CareSource, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Monica Roy 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 Monica Roy was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.