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MR. TONY ROY M.B.B.S, M.D
NPI 1386132249
Hospitalist in Milford, CT

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
300 SEASIDE AVE FL 3, MILFORD, CT 06460(203) 301-1070(203) 301-1542 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2021, Apr 26, 2018 (2 updates tracked since 2018).

About Mr. Tony Roy M.b.b.s, M.d NPPES

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

MR. TONY ROY M.B.B.S, M.D (NPI 1386132249) is an individual hospitalist provider in Milford, Connecticut, licensed in Connecticut (67494) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kottayam, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386132249
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. TONY ROYCredential: M.B.B.S, M.D
Location Address300 SEASIDE AVE FL 3Milford, CT 06460-4603
Mailing Address20 York Street, Cb-329New Haven, CT 06510-3220 · (203) 301-1070 · Fax (203) 301-1542
Phone(203) 301-1070
Fax(203) 301-1542
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 26, 2018
Last NPPES UpdateAugust 24, 20212 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1386132249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 67494
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
300 SEASIDE AVE FL 3, Milford, CT 06460
Open in Google Maps ↗

Secondary Practice Location 1

Location 1GRA-55, Cherukara House, Garudhinagar P.OKottayam, Kerala 68600 · Phone (918) 086-7961

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

Mr. Tony Roy M.b.b.s, M.d 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 ID244584456
PECOS Enrollment IDI20210831000447
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 Tony Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Medical Group, Inc.
5.5 mi
Internal Medicine
226 MILL HILL AVENUE, 3RD FLR
Bridgeport, CT 06610
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,824 clinicians in this Medicare group
NPI 1043278351 (203) 384-3975

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
267 services239 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services64 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06460 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

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 Tony Roy's NPI number?

The NPI number for Tony Roy is 1386132249. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Tony Roy located?

Tony Roy practices at 300 Seaside Ave Fl 3, Milford, CT 06460. The listed phone number is (203) 301-1070.

What is Tony Roy's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Tony Roy enrolled in Medicare?

Yes. Tony 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 Tony Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Roy reassigns Medicare benefits to Northeast Medical Group, Inc. (Bridgeport, CT). 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 Tony 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 Tony Roy was last updated on August 24, 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.