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DR. GARY T ROOME MD
NPI 1376534396
Family Medicine in Burton, MI

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
G-3375 S. SAGINAW ST., BURTON, MI 48529(810) 743-6830(810) 743-7086 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary T Roome Md NPPES

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

DR. GARY T ROOME MD (NPI 1376534396) is an individual family medicine provider in Burton, Michigan, licensed in Michigan (4301045407) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1980).

NPPES Registry Identity

NPI1376534396
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GARY T ROOMECredential: MD
Location AddressG-3375 S. SAGINAW ST.Burton, MI 48529
Mailing Address225 E 5th St, Suite 300Flint, MI 48502-1641 · (810) 406-4246 · Fax (810) 424-6029
Phone(810) 743-6830
Fax(810) 743-7086
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1980
Enumeration DateOctober 31, 2005
Last NPPES UpdateJanuary 8, 2021
NPPES CertifiedJanuary 8, 2021
✔ NPI 1376534396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301045407
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
G-3375 S. SAGINAW ST., Burton, MI 48529
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Other Identifiers 16

Other080D410020MI · Community Blue
Other1919555001MI · Cigna
Other2032240MI · Health Plus
OtherB48439MI · Health Net Federal Serv
Other080095915MI · Metrahealth
Other0802532881MI · Blue Cross Blue Shield
Other080D410020MI · Blue Care Network
Medicaid4974960MI
Other204391MI · Health Advantage Network
Medicaid3302570MI
Other4378496MI · Aetna
OtherC2387MI · Mcare
Other204391MI · Mclaren Health Plan
Other080D410020MA · Blue Cross Blue Shield
Other080D410020MI · Blue Choice Pos
OtherB48439MI · Health Alliance Plan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Gary T Roome 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 ID8921101486
PECOS Enrollment IDI20070321000499
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48529 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
3 suppliers13 claims384 services$2.44 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers14 claims4,904 services$0.25 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$4.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Gary Roome's NPI number?

The NPI number for Gary Roome is 1376534396. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Gary Roome located?

Gary Roome practices at G-3375 S. Saginaw St., Burton, MI 48529. The listed phone number is (810) 743-6830.

What is Gary Roome's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gary Roome enrolled in Medicare?

Yes. Gary Roome 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 Gary Roome accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Gary Roome 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 Gary Roome was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.