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DR. PHILLIP E ROY O.D.
NPI 1750406781
Optometrist in Brookfield, WI

Active since March 20, 2007PECOS Enrolled
17495 W CAPITOL DR STE D, BROOKFIELD, WI 53045(262) 797-9638(262) 797-9648 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Phillip E Roy O.d. NPPES

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

DR. PHILLIP E ROY O.D. (NPI 1750406781) is an individual optometrist in Brookfield, Wisconsin, licensed in Wisconsin (391547996) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1983).

NPPES Registry Identity

NPI1750406781
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PHILLIP E ROYCredential: O.D.
Location Address17495 W CAPITOL DR STE DBrookfield, WI 53045-2059
Mailing Address15145 Pomona RdBrookfield, WI 53005 · (262) 797-9322 · Fax (262) 797-9648
Phone(262) 797-9638
Fax(262) 797-9648
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1983
Enumeration DateMarch 20, 2007
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1750406781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in WI · 391547996✔ Licensed in WI · WI1966
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
17495 W CAPITOL DR STE D, Brookfield, WI 53045
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip E Roy O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153488341
PECOS Enrollment IDI20090313000414
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 Phillip Roy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vision Systems, Inc.
Same address
Optometrist
17495 W CAPITOL DR STE D
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
NPI 1548196801 (262) 797-9638

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

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53045 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 4

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

ALEXANDRA BRANDT OD
Optometrist
17495 W CAPITOL DR STE D
BROOKFIELD, WI 53045
Waukesha County (262) 797-9638
HOLLIE DOYLE OD
Optometrist
17495 W CAPITOL DR STE D
BROOKFIELD, WI 53045
Waukesha County (262) 797-9638
FOX BROOK EYE CARE LLC
Optometrist
17495 W CAPITOL DR STE D
BROOKFIELD, WI 53045
Waukesha County (262) 797-9638
VISION SYSTEMS, INC.
Optometrist
17495 W CAPITOL DR STE D
BROOKFIELD, WI 53045
Waukesha County (262) 797-9638

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 Phillip Roy's NPI number?

The NPI number for Phillip Roy is 1750406781. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Phillip Roy located?

Phillip Roy practices at 17495 W Capitol Dr Ste D, Brookfield, WI 53045. The listed phone number is (262) 797-9638.

What is Phillip Roy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Phillip Roy enrolled in Medicare?

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

Which organization bills Medicare for Phillip Roy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Roy reassigns Medicare benefits to Vision Systems, Inc. (Brookfield, WI). 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 Phillip Roy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Roy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Phillip 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.

When was this NPI record last updated?

The NPPES record for Phillip Roy was last updated on November 17, 2020. 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.