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DR. BRANDON P ROY M.D.
NPI 1699798751
Surgery in Raleigh, NC

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
3024 NEW BERN AVE, SUITE 304 - SURGERY / TRAUMA, RALEIGH, NC 27610(919) 350-8729(919) 350-7633 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brandon P Roy M.d. NPPES

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

DR. BRANDON P ROY M.D. (NPI 1699798751) is an individual surgery provider in Raleigh, North Carolina, licensed in North Carolina (2005-00868) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of University Of Minnesota Medical School (1999).

NPPES Registry Identity

NPI1699798751
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRANDON P ROYCredential: M.D.
Location Address3024 NEW BERN AVE, SUITE 304 - SURGERY / TRAUMARaleigh, NC 27610-1247
Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490
Phone(919) 350-8729
Fax(919) 350-7633
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1999
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
✔ NPI 1699798751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2005-00868
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3024 NEW BERN AVE, Raleigh, NC 27610
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Other Identifiers 1

Medicaid5901718NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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. Brandon P Roy M.d. 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 ID7618955634
PECOS Enrollment IDI20050923000736
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

VALERIE J RINEHAMMER PNP
Nurse Practitioner (Pediatrics)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7846
WAKEMED FACULTY PRACTICE PLAN
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. KAREN NEFF CHILTON M.D.
Pediatrics (Pediatric Critical Care Medicine)
3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610
Wake County (919) 350-8493
DR. SAMER TAJ-ELDIN M.D.
Internal Medicine (Critical Care Medicine)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7270
VIRGINIA GRACE CATES PA-C
Physician Assistant
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-5318
MS. KAYLA ANNE CADDEN PA-C
Physician Assistant (Surgical)
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7331
DON M. ARMSTRONG MD
Obstetrics & Gynecology
3024 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7084
KATHLEEN A ROWE NP
Nurse Practitioner
3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610
Wake County (919) 350-8729

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 Brandon Roy's NPI number?

The NPI number for Brandon Roy is 1699798751. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Brandon Roy located?

Brandon Roy practices at 3024 New Bern Ave Suite 304 - Surgery / Trauma, Raleigh, NC 27610. The listed phone number is (919) 350-8729.

What is Brandon Roy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brandon Roy enrolled in Medicare?

Yes. Brandon Roy 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 Brandon Roy accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Brandon Roy 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 Brandon Roy affiliated with any hospitals?

According to CMS data, Brandon Roy is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Brandon Roy was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.