Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

GREGORY V ROEBEN M.D.
NPI 1295736486
Psychiatry & Neurology - Psychiatry in Bellevue, WA

Active since August 10, 2005Opted out of Medicare · through Mar 1, 2028
11522 NE 21ST ST, BELLEVUE, WA 98004(425) 635-9400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gregory V Roeben M.d. NPPES

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

GREGORY V ROEBEN M.D. (NPI 1295736486) is an individual psychiatry provider in Bellevue, Washington, licensed in Washington (MD36235) and active in the NPI registry since August 2005. He has opted out of Medicare through March 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295736486
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameGREGORY V ROEBENCredential: M.D.
Location Address11522 NE 21ST STBellevue, WA 98004-3025
Mailing Address11522 Ne 21st StBellevue, WA 98004-3025
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1295736486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in WA · MD36235
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

11522 NE 21ST ST, Bellevue, WA 98004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Gregory V Roeben M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 1, 2016 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2016
Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 2

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

Psychologist
11522 NE 21ST ST
BELLEVUE, WA 98004
Clinical Neuropsychologist
11522 NE 21ST ST
BELLEVUE, WA 98004

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 Gregory Roeben's NPI number?

The NPI number for Gregory Roeben is 1295736486. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Gregory Roeben located?

Gregory Roeben practices at 11522 NE 21st St, Bellevue, WA 98004. The listed phone number is (425) 635-9400.

What is Gregory Roeben's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Gregory Roeben enrolled in Medicare?

No. Gregory Roeben has opted out of Medicare through March 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gregory Roeben was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.