DR. THOMAS A ROISUM MD
NPI 1528171964
Pathology - Anatomic Pathology & Clinical Pathology in Enid, OK

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment
305 S 5TH ST, ENID, OK 73701(913) 396-8509(913) 318-8378 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, Sep 30, 2022 (2 updates tracked since 2022).

About Dr. Thomas A Roisum Md NPPES

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

DR. THOMAS A ROISUM MD (NPI 1528171964) is an individual anatomic pathology & clinical pathology provider in Enid, Oklahoma, licensed in Oklahoma (34698) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Integris Bass Baptist Health Center, and is a graduate of University Of North Dakota School Of Medicine (1995).

NPPES Registry Identity

NPI1528171964
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. THOMAS A ROISUMCredential: MD
Location Address305 S 5TH STEnid, OK 73701-5832
Mailing Address261 Hummingbird LnHannibal, MO 63401-6931 · (573) 231-0130
Fax(913) 318-8378
Sole ProprietorNo
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1995
Enumeration DateAugust 17, 2006
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1528171964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses Licensed in OK · 34698 Licensed in IA · 36424 Licensed in ND · 15065 Licensed in MO · 109630 Licensed in PA · MD479037
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
305 S 5TH ST, Enid, OK 73701

Other Identifiers 2

Other1C220032011MO · Railroad Medicare
Medicaid201085050AOK

Accepted 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. Thomas A Roisum 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 ID345347753
PECOS Enrollment IDI20220516002777, I20250124002198
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 17

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,371 services586 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
214 services154 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
206 services105 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
197 services48 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
69 services66 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
63 services61 patients

Hospital Affiliations CMS Care Compare 5

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

Integris Bass Baptist Health Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370016
Location600 South MonroeEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

St Mary's Regional Medical Center

Acute Care Hospitals · Enid, OK
4/5 CMS rating
OwnershipProprietary
CMS Certification Number370026
Location305 South 5th StreetEnid, OK 73701 · Garfield County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Avera St Lukes

Acute Care Hospitals · Aberdeen, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number430014
Location305 S State St Post Office Box 4450Aberdeen, SD 57401 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73701 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

Radiology (Diagnostic Radiology)
305 S 5TH ST
ENID, OK 73701
Speech-Language Pathologist
305 S 5TH ST
ENID, OK 73701
Nurse Practitioner
305 S 5TH ST
ENID, OK 73701
Physical Therapist
305 S 5TH ST
ENID, OK 73701
Emergency Medicine
305 S 5TH ST
ENID, OK 73701
Skilled Nursing Facility
305 S 5TH ST
ENID, OK 73701
Nurse Practitioner (Family)
305 S 5TH ST
ENID, OK 73701
Physical Therapy Assistant
305 S 5TH ST
ENID, OK 73701

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 Thomas Roisum's NPI number?

The NPI number for Thomas Roisum is 1528171964. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Thomas Roisum located?

Thomas Roisum practices at 305 S 5th St, Enid, OK 73701. The listed phone number is (913) 396-8509.

What is Thomas Roisum's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Thomas Roisum enrolled in Medicare?

Yes. Thomas Roisum 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 Thomas Roisum accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Oklahoma, Medica and Oscar Insurance Company list Thomas Roisum 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.

Is Thomas Roisum affiliated with any hospitals?

According to CMS data, Thomas Roisum is affiliated with Integris Bass Baptist Health Center, St Mary's Regional Medical Center, Integris Baptist Medical Center, Inc, O U Medical Center and Avera St Lukes.

When was this NPI record last updated?

The NPPES record for Thomas Roisum was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.