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DR. KELLY H ROY MD
NPI 1891787693
Obstetrics & Gynecology - Gynecology in Phoenix, AZ

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
1008 E MCDOWELL RD, PHOENIX, AZ 85006(602) 358-8588(602) 688-6991 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, Sep 15, 2020 (2 updates tracked since 2020).

About Dr. Kelly H Roy Md NPPES

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

DR. KELLY H ROY MD (NPI 1891787693) is an individual gynecology provider in Phoenix, Arizona, licensed in Arizona (28111) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of University Of Arizona College Of Medicine (1997).

NPPES Registry Identity

NPI1891787693
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. KELLY H ROYCredential: MD
Location Address1008 E MCDOWELL RDPhoenix, AZ 85006-2603
Mailing Address7330 N 16th St Ste B101Phoenix, AZ 85020-5274 · (602) 358-8588 · Fax (602) 688-6991
Phone(602) 358-8588
Fax(602) 688-6991
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1997
Enumeration DateAugust 17, 2005
Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1891787693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in AZ · 28111
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1008 E MCDOWELL RD, Phoenix, AZ 85006
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Secondary Practice Locations 7

Location 110555 N Tatum Blvd Ste A101Paradise Valley, AZ 85253-1096 · Phone (602) 358-8588 · Fax (602) 688-6991
Location 21151 N Gilbert RdMesa, AZ 85203-5127 · Phone (602) 358-8588 · Fax (602) 688-6991
Location 32222 E Highland Ave Ste 205Phoenix, AZ 85016-4876 · Phone (602) 358-8588 · Fax (602) 688-6991
Location 4702 E Bell Rd Ste 119Phoenix, AZ 85022-6639 · Phone (602) 358-8588 · Fax (602) 688-6991
Location 53105 Clearwater DrPrescott, AZ 86305-7166 · Phone (602) 358-8588 · Fax (602) 688-6991
Location 61919 E McKellips Rd Ste 106Mesa, AZ 85203-2855 · Phone (602) 358-8588 · Fax (602) 688-6991
Location 710585 N Tatum Blvd Ste D130Paradise Valley, AZ 85253-1073 · Phone (602) 358-8588

Other Identifiers 4

Medicaid519556AZ
Other7976320AZ · Aetna
OtherZ82292AZ · Medicare Id - Unspecified
OtherAZ0756830AZ · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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. Kelly H Roy 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 ID8527031772
PECOS Enrollment IDI20040817000398
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services18 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
14 services14 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
29%645 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
62%1,581 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%697 patients1/55-star benchmark: 85%
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.
93%230 patients4/55-star benchmark: 99%
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…
18%230 patients1/55-star benchmark: 88%
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.
94%1,229 patients3/55-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.
69%2,651 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
44%2,308 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 1,229 patients
Patients tobacco: 10% · 71 patients
92%1,229 patients4/55-star benchmark: 98%
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…
99%2,651 patients4/55-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…
76%2,651 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
66%2,651 patients
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 8

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

KELLY H. ROY, MD, PC
Obstetrics & Gynecology (Gynecology)
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 358-8588
UNDERSTANDING WOMEN PC
Obstetrics & Gynecology
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 393-0661
T.A. JANTZ, D.O., P.C.
Surgery
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 258-7003
PARADISE VALLEY SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
1008 E MCDOWELL RD, SUITE C
PHOENIX, AZ 85006
Maricopa County (602) 254-6369
KENDIS MOORE DRAKE RN,NP
Nurse Practitioner (Women's Health)
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 393-0661
LASER SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 258-7003
MS. JASMINE ROSE SMITH FNP-C
Nurse Practitioner (Women's Health)
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 358-8588
ASHLEY DEYOUNG PA-C
Physician Assistant
1008 E MCDOWELL RD
PHOENIX, AZ 85006
Maricopa County (602) 358-8588

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 Kelly Roy's NPI number?

The NPI number for Kelly Roy is 1891787693. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Kelly Roy located?

Kelly Roy practices at 1008 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 358-8588.

What is Kelly Roy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Kelly Roy enrolled in Medicare?

Yes. Kelly 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 Kelly Roy accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Kelly 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 Kelly Roy was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.