DR. BRIAN MICHAEL ROY D.D.S.
NPI 1528406659
Dentist in Columbus, OH

NPI Status: Active since June 11, 2013

Contact Information

305 W 12TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 292-2751

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist
Accepts Insurance
PECOS Enrolled

About BRIAN ROY

This page provides the complete NPI Profile along with additional information for Brian Roy, a provider established in Columbus, Ohio with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1528406659 assigned on June 2013. The practitioner's primary taxonomy code is 122300000X with license number RES.3308 (OH). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI: 1528406659
Provider Name: DR. BRIAN MICHAEL ROY D.D.S.
Gender: Male
Entity Type: Individual
Location Address: 305 W 12TH AVE COLUMBUS, OH 43210
Location Phone: (614) 292-2751
Mailing Address: 720 W 3RD AVE APT 415 COLUMBUS, OH 43212
Mailing Phone: (586) 770-8960
Is Sole Proprietor?: No
Enumeration Date: 06-11-2013
Last Update Date: 06-11-2013
Code Navigator

A dentist like Brian Roy is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dentist
Taxonomy Code: 122300000X
Type: Dental Providers
License No.: RES.3308
License State: OH
Taxonomy Description: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	122300000X	Dental Providers	Dentist	2901020919 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Delta Dental of Ohio

Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
Delta Dental Individual PPO Silver Plan, EHB Certified - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Brian Roy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 43210 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $84.72
Minimum New Patient Price $54.34
Maximum New Patient Price $166.65

Average New Patient Copayment $21.18
Minimum New Patient Copayment $13.58
Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $68.07
Minimum Established Patient Price $17.1
Maximum Established Patient Price $135.4

Average Established Patient Copayment $17.01
Minimum Established Patient Copayment $4.27
Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	2	8	4	0	6	6	5	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	4	8	8	0	12	6	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 8 + 0 + 1 + 2 + 6 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 9									9

The NPI number 1528406659 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. SUSAN REGINA MALLERY DDS

Dentist

(Oral and Maxillofacial Pathology)

305 W 12TH AVE
COLLEGE OF DENTISTRY OHIO STATE UNIVERSITY
COLUMBUS, OH
ZIP 43210

About BRIAN ROY

Location Map

Specialty - Primary Taxonomy

Dentist

Secondary Taxonomies

Dentist

Insurance Plans Accepted

Delta Dental of Ohio

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): Yes

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for DR. BRIAN MICHAEL ROY D.D.S.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Brian Roy's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does Brian Roy accept?