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ALEX I ROYTBURG
NPI 1417680984
Nurse Practitioner in West Hartford, CT

Active since July 02, 2022PECOS EnrolledAccepts Medicare Assignment
76 POCAHONTAS DR, WEST HARTFORD, CT 06117(860) 798-3705 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alex I Roytburg NPPES

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

ALEX I ROYTBURG (NPI 1417680984) is an individual nurse practitioner in West Hartford, Connecticut, licensed in Connecticut (10744) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417680984
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameALEX I ROYTBURG
Location Address76 POCAHONTAS DRWest Hartford, CT 06117-1441
Mailing Address76 Pocahontas DrWest Hartford, CT 06117-1441 · (860) 798-3705
Phone(860) 798-3705
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 2, 2022
Last NPPES UpdateFebruary 13, 2023
NPPES CertifiedFebruary 13, 2023
✔ NPI 1417680984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 10744
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 10.120090 (CT)
76 POCAHONTAS DR, West Hartford, CT 06117
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Alex I Roytburg 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 ID6305201443
PECOS Enrollment IDI20230425002158
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 Reassignments

2

Medicare enrollment records show Alex Roytburg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians PC
2.5 mi
Hospitalist
490 BLUE HILLS AVE.
Hartford, CT 06112
  • Reassigned Medicare billing, Connecticut enrollment
  • 112 clinicians in this Medicare group
NPI 1437955234 (860) 714-3500
Trinity Health Of New England Provider Network Organization Inc
2.8 mi
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
NPI 1003882812 (860) 714-1325

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 06117 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
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.

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 Alex Roytburg's NPI number?

The NPI number for Alex Roytburg is 1417680984. It was assigned to this individual provider in the NPPES registry on July 2, 2022.

Where is Alex Roytburg located?

Alex Roytburg practices at 76 Pocahontas Dr, West Hartford, CT 06117. The listed phone number is (860) 798-3705.

What is Alex Roytburg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Alex Roytburg enrolled in Medicare?

Yes. Alex Roytburg 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 organizations bill Medicare for Alex Roytburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alex Roytburg reassigns Medicare benefits to 2 organizations: Galen Inpatient Physicians PC (Hartford, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each 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 Alex Roytburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alex Roytburg accept?

Health plans from Anthem Blue Cross and Blue Shield list Alex Roytburg 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 Alex Roytburg was last updated on February 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.