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DR. RANDALL JAMES ROY MD
NPI 1306001383
Orthopaedic Surgery - Sports Medicine in Montgomery, OH

Active since July 18, 2008PECOS EnrolledAccepts Medicare Assignment
10663 MONTGOMERY RD, MONTGOMERY, OH 45242(513) 347-9999(513) 792-3230 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Randall James Roy Md NPPES

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

DR. RANDALL JAMES ROY MD (NPI 1306001383) is an individual sports medicine provider in Montgomery, Ohio, licensed in Ohio (35.121560) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1306001383
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. RANDALL JAMES ROYCredential: MD
Location Address10663 MONTGOMERY RDMontgomery, OH 45242-4403
Mailing Address10663 Montgomery RdMontgomery, OH 45242-4403 · (513) 347-9999 · Fax (513) 792-3230
Phone(513) 347-9999
Fax(513) 792-3230
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 18, 2008
Last NPPES UpdateJanuary 13, 2023
✔ NPI 1306001383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in OH · 35.121560
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
10663 MONTGOMERY RD, Montgomery, OH 45242
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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. Randall James Roy Md 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 ID8628210762
PECOS Enrollment IDI20230228001766
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 Randall Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1,843 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1225060742 (California)
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier16 claims16 services$105.21 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 20

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

MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC
Durable Medical Equipment & Medical Supplies
10663 MONTGOMERY RD
MONTGOMERY, OH 45242
Hamilton County (888) 696-3541
CINCINNATI SPORTSMEDICINE AND ORTHOPAEDIC CENTER
Durable Medical Equipment & Medical Supplies
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 347-9999
THOMAS N. LINDENFELD M.D.
Orthopaedic Surgery (Sports Medicine)
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 346-7292
MONICA FAYE REYNOLDS DPT
Physical Therapist (Orthopedic)
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 347-9999
STEFANIE CONLEY ATC
Specialist/Technologist (Athletic Trainer)
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 347-9999
ALBERT DUCKER ATC
Specialist/Technologist (Athletic Trainer)
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 347-9999
MICHAEL THALNER ATC
Specialist/Technologist (Athletic Trainer)
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 347-9999
RACHAEL HOLT ATC
Specialist/Technologist (Athletic Trainer)
10663 MONTGOMERY RD
CINCINNATI, OH 45242
Hamilton County (513) 347-9999

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 Randall Roy's NPI number?

The NPI number for Randall Roy is 1306001383. It was assigned to this individual provider in the NPPES registry on July 18, 2008.

Where is Randall Roy located?

Randall Roy practices at 10663 Montgomery Rd, Montgomery, OH 45242. The listed phone number is (513) 347-9999.

What is Randall Roy's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Randall Roy enrolled in Medicare?

Yes. Randall 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 Randall Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Roy reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, CA). 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 Randall Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randall Roy was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.