GARY L ROARK MD
NPI 1922083450
Anesthesiology in Lebanon, PA
About Gary L Roark Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GARY L ROARK MD (NPI 1922083450) is an individual anesthesiology provider in Lebanon, Pennsylvania, licensed in Maryland (D42992) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of Wake Forest University School Of Medicine (1989).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
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
Gary L Roark 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.
Medicare Billing Reassignment
Medicare enrollment records show Gary Roark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Leesburg, VA 20176
- Reassigned Medicare billing, Virginia enrollment
- 1,217 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Regional Medical Center
Acute Care Hospitals · Newport News, VAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, PA 17042
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 Gary Roark's NPI number?
The NPI number for Gary Roark is 1922083450. It was assigned to this individual provider in the NPPES registry on December 7, 2005.
Where is Gary Roark located?
Gary Roark practices at 830 Tuck St, Lebanon, PA 17042. The listed phone number is (717) 272-4104.
What is Gary Roark's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Gary Roark enrolled in Medicare?
Yes. Gary Roark 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 Gary Roark's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gary Roark reassigns Medicare benefits to American Anesthesiology Of Virginia, PC (Leesburg, VA). 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 Gary Roark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gary Roark affiliated with any hospitals?
According to CMS data, Gary Roark is affiliated with Riverside Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Gary Roark was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gary L Roark, MD · NPI 1922083450
Anesthesiology physician in Lebanon, Pennsylvania. Individual provider, active in the CMS NPPES registry since December 7, 2005.
## Identity
- **NPI:** 1922083450 (Entity type: Individual)
- **Enumerated:** December 7, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** D42992 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 830 TUCK ST, Lebanon, PA 17042-7477
- **Phone:** (717) 272-4104
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** American Anesthesiology Of Virginia, PC (NPI 1053675199, Leesburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wake Forest University School Of Medicine, class of 1989
## Record status
- **NPPES last updated:** April 7, 2023
- **Other identifiers:** Medicaid 110093673A (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1922083450) · Data from the CMS NPPES public registry.