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DR. DAVID P ROY M.D.
NPI 1750377701
Internal Medicine in Plainville, CT

Active since September 26, 2005PECOS Enrolled
184 EAST ST, GROVE HILL MEDICAL CENTER, PLAINVILLE, CT 06062(860) 747-5766(860) 747-2028 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David P Roy M.d. NPPES

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

DR. DAVID P ROY M.D. (NPI 1750377701) is an individual internal medicine provider in Plainville, Connecticut, licensed in Connecticut (027869) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750377701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID P ROYCredential: M.D.
Location Address184 EAST ST, GROVE HILL MEDICAL CENTERPlainville, CT 06062-2913
Mailing Address300 Kensington Ave, Grove Hill Medical CenterNew Britain, CT 06051-3916 · (860) 747-5766 · Fax (860) 747-2028
Phone(860) 747-5766
Fax(860) 747-2028
Sole ProprietorNo
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1750377701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 027869
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.
184 EAST ST, Plainville, CT 06062
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Other Identifiers 14

Other2786901CT · Connecticare
Other1255448155CT · Ghmc Group Npi Id
Medicaid004215324CT
Medicaid001278696CT
OtherP369798CT · Oxford
Other110130198CT · Rail Road Mediare
Medicare ID-Type UnspecifiedC01373CT · Ghmc Group Medicare Id
Medicare ID-Type Unspecified110001379CT
Other010027869CT01CT · Bcbs & Bcfp Id
Other477128CT · Aetna
Other370141CT · Wellcare Medicare
Other01027869CT · Cigna
Medicare UPINB83281
Other060037CT · Health Net

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David P Roy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 David Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Starling Physicians, PLLC
3.8 mi
Clinical Medical Laboratory
1 LAKE ST, GROVE HILL MEDICAL CENTER
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1437252806 (860) 827-4600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06062 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%7,203 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
72%353 patients4/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%27 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
30%1,532 patients2/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
24%1,532 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%1,532 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

DR. DAVID E SOWA M.D.
Obstetrics & Gynecology
184 EAST ST, GROVE HILL MEDICAL CENTER
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-0730
OOSMAN TARIQ
Family Medicine
184 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-5766
DR. KAREN P HAVERLY M.D.
Obstetrics & Gynecology
184 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-5766
DR. ANGELA G GEDDIS M.D.
Pediatrics
184 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-1132
DR. PETER J HARRIS M.D.
Internal Medicine
184 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-5766
MRS. ASHLEY MARIE BOGUE PA-C
Physician Assistant (Medical)
184 EAST ST
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-5766
DR. JONATHAN PENDLETON M.D.
Internal Medicine
184 EAST ST, GROVE HILL MEDICAL CENTER
PLAINVILLE, CT 06062
Capitol Planning Region (860) 747-5766

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 David Roy's NPI number?

The NPI number for David Roy is 1750377701. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is David Roy located?

David Roy practices at 184 East St Grove Hill Medical Center, Plainville, CT 06062. The listed phone number is (860) 747-5766.

What is David Roy's specialty?

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

Is David Roy enrolled in Medicare?

Yes. David Roy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Roy reassigns Medicare benefits to Starling Physicians, PLLC (New Britain, CT). 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 David Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Roy was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.