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GARY L ROARK MD
NPI 1922083450
Anesthesiology in Lebanon, PA

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
830 TUCK ST, LEBANON, PA 17042(717) 272-4104 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2023, Jul 1, 2021, May 23, 2021 (3 updates tracked since 2021).

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

NPI1922083450
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameGARY L ROARKCredential: MD
Location Address830 TUCK STLebanon, PA 17042-7477
Mailing Address830 Tuck StLebanon, PA 17042-7477 · (717) 272-4104
Phone(717) 272-4104
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1989
Enumeration DateDecember 7, 2005
Last NPPES UpdateApril 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1922083450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in MD · D42992✔ Licensed in MA · 252446✔ Licensed in GU · M-2261
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 252446 (MA)
Also ListedAnesthesiology · Pediatric AnesthesiologyTaxonomy 207LP3000X · License 252446 (MA)
830 TUCK ST, Lebanon, PA 17042
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Other Identifiers 1

Medicaid110093673AMA

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

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.

PECOS PAC ID5496761884
PECOS Enrollment IDI20120502000053
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.

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, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

THE GOOD SAMARITAN HOSPITAL
Clinic/Center (Ambulatory Surgical)
830 TUCK ST
LEBANON, PA 17042
Lebanon County (717) 274-7580
JAMES POHRONEZNY CRNA
Nurse Anesthetist, Certified Registered
830 TUCK ST
LEBANON, PA 17042
Lebanon County (717) 272-4104
LEBANON OUTPATIENT SURGICAL CENTER L.P.
Clinic/Center (Ambulatory Surgical)
830 TUCK ST
LEBANON, PA 17042
Lebanon County (717) 228-1620

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.

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.