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ROY A EPSTEIN MD
NPI 1558342709
Obstetrics & Gynecology in Reading, MA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
30 NEW CROSSING RD, HALLMARK HEALTH MEDICAL ASSOCIATES, READING, MA 01867(781) 246-3500(781) 246-3555 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Roy A Epstein Md NPPES

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

ROY A EPSTEIN MD (NPI 1558342709) is an individual obstetrics & gynecology provider in Reading, Massachusetts, licensed in Massachusetts (52911) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1558342709
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameROY A EPSTEINCredential: MD
Location Address30 NEW CROSSING RD, HALLMARK HEALTH MEDICAL ASSOCIATESReading, MA 01867-3270
Mailing Address30 New Crossing Rd, Hallmark Health Medical AssociatesReading, MA 01867-3270 · (781) 246-3500 · Fax (781) 246-3555
Phone(781) 246-3500
Fax(781) 246-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateNovember 7, 2005
Last NPPES UpdateMay 2, 2012
✔ NPI 1558342709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 52911
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
30 NEW CROSSING RD, Reading, MA 01867
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Other Identifiers 3

Medicare UPINB74430
Medicare PINJ03306MA
Medicaid6177433MA

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

Roy A Epstein 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 ID9032165048
PECOS Enrollment IDI20050323000512
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 Roy Epstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hallmark Health Medical Associates Inc
6.4 mi
Family Medicine
170 GOVERNORS AVE, ATTN: PROVIDER ENROLLMENT
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 246 clinicians in this Medicare group
NPI 1770563900 (781) 338-7521

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services11 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01867 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN D TEDESCO, DPM & GEORGE A ABBOUD, DPM PC
Podiatrist (Foot & Ankle Surgery)
30 NEW CROSSING RD, SUITE 311
READING, MA 01867
Middlesex County (781) 944-4044
LILY S NARUSEVICIUS MD
Internal Medicine
30 NEW CROSSING RD, SUITE 200
READING, MA 01867
Middlesex County (781) 213-5170
DOLORES ANN FOLEY ANP
Nurse Practitioner (Adult Health)
30 NEW CROSSING RD, SUITE #301
READING, MA 01867
Middlesex County (781) 942-0380
HALLMARK HEALTH URGENT CARE PHYSICIANS LLC
Emergency Medicine
30 NEW CROSSING RD
READING, MA 01867
Middlesex County (781) 280-1699
DR. ESPERANZA KNIGHT FNP-BC, NP-C
Nurse Practitioner (Family)
30 NEW CROSSING RD
READING, MA 01867
Middlesex County (781) 944-1166
VICKI MACLEAN RNP
Nurse Practitioner (Women's Health)
30 NEW CROSSING RD, SUITE 207
READING, MA 01867
Middlesex County (781) 246-3500
TAYLOR ROSE BOISJOLIE PA-C
Physician Assistant
30 NEW CROSSING RD
READING, MA 01867
Middlesex County (413) 427-7033
DAVID SIEGENBERG MD PLLCS
Internal Medicine (Gastroenterology)
30 NEW CROSSING RD
READING, MA 01867
Middlesex County (781) 944-1166

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 Epstein's NPI number?

The NPI number for Roy Epstein is 1558342709. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Roy Epstein located?

Roy Epstein practices at 30 New Crossing Rd Hallmark Health Medical Associates, Reading, MA 01867. The listed phone number is (781) 246-3500.

What is Roy Epstein's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Roy Epstein enrolled in Medicare?

Yes. Roy Epstein 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 Roy Epstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Epstein reassigns Medicare benefits to Hallmark Health Medical Associates Inc (Medford, MA). 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 Roy Epstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roy Epstein accept?

Health plans from Anthem Blue Cross and Blue Shield list Roy Epstein 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 Roy Epstein affiliated with any hospitals?

According to CMS data, Roy Epstein is affiliated with Melrosewakefield Healthcare.

When was this NPI record last updated?

The NPPES record for Roy Epstein was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.