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DR. ROY SEMAAN MD
NPI 1447409461
Internal Medicine in Pittsburgh, PA

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
200 LOTHROP STREET, UPMC MONTEFIORE, SUITE N713, PITTSBURGH, PA 15213(412) 692-4700 Get Directions Write a Review

NPPES record last updated: September 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roy Semaan Md NPPES

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

DR. ROY SEMAAN MD (NPI 1447409461) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MT193143) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1447409461
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROY SEMAANCredential: MD
Location Address200 LOTHROP STREET, UPMC MONTEFIORE, SUITE N713Pittsburgh, PA 15213
Mailing Address200 Lothrop Street, Upmc Montefiore, Suite N713Pittsburgh, PA 15213 · (412) 692-4700
Phone(412) 692-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 15, 2008
✔ NPI 1447409461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MT193143
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
200 LOTHROP STREET, Pittsburgh, PA 15213
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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. Roy Semaan 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 ID8224319116
PECOS Enrollment IDI20170109001495
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.

Areas of Expertise CMS Part B claims 8

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.

Irrigation and suction of lung airways to obtain cells using an endoscope 31624
This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.
35 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients
Biopsy of lobe of lung using an endoscope, 1 lobe 31628
A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.
18 services17 patients
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.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

MRS. KELLY ANN MARTIN MSPA-C
Physician Assistant (Medical)
200 LOTHROP STREET, FLOOR 9D
PITTSBURGH, PA 15213
Allegheny County (412) 648-6531
UPMC PRESBYTERIAN SHADYSIDE
Pharmacy
200 LOTHROP STREET, F186 INPATIENT PHARMACY (C/O ALFRED L'ALTRELLI)
PITTSBURGH, PA 15213
Allegheny County (412) 547-5929
ERICK S. MACLEAN MD
Internal Medicine
200 LOTHROP STREET, 5B OUTPATIENT CARDIOLOGY
PITTSBURGH, PA 15213
Allegheny County (412) 647-8286
MS. SHEIVA FENSTERMACHER M.D.
Student in an Organized Health Care Education/Training Program
200 LOTHROP STREET, SUITE N715
PITTSBURGH, PA 15213
Allegheny County (412) 647-6426
DR. SEVIL OZDEMIR M.D.
Student in an Organized Health Care Education/Training Program
200 LOTHROP STREET
PITTSBURGH, PA 15213
Allegheny County (412) 647-3333
MEDHA BISWAS M.D.
Student in an Organized Health Care Education/Training Program
200 LOTHROP STREET, 5B OUTPATIENT CARDIOLOGY
PITTSBURGH, PA 15213
Allegheny County (412) 647-4123
SEAN ALAN FLANNIGAN M.D.
Emergency Medicine
200 LOTHROP STREET
PITTSBURGH, PA 15213
Allegheny County (412) 647-3135
MICHAEL XIE MD
Otolaryngology
200 LOTHROP STREET, THE EYE AND EAR INSTITUTE, SUITE 500
PITTSBURGH, PA 15213
Allegheny County (412) 647-8186

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 Roy Semaan's NPI number?

The NPI number for Roy Semaan is 1447409461. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Where is Roy Semaan located?

Roy Semaan practices at 200 Lothrop Street Upmc Montefiore, Suite N713, Pittsburgh, PA 15213. The listed phone number is (412) 692-4700.

What is Roy Semaan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Roy Semaan enrolled in Medicare?

Yes. Roy Semaan 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.

Is Roy Semaan affiliated with any hospitals?

According to CMS data, Roy Semaan is affiliated with Upmc Mercy, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Roy Semaan was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.