ADDISON AUSTIN ROE
NPI 1952920399
Physician Assistant in Clayton, NC

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
79.14/100
CMS Quality Rating
2196 VETERANS PKWY, CLAYTON, NC 27520(919) 220-5255(919) 969-9131 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 28, 2026, Dec 9, 2020, Oct 6, 2020 and 1 more (4 updates tracked since 2020).

About Addison Austin Roe NPPES

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

ADDISON AUSTIN ROE (NPI 1952920399) is an individual physician assistant in Clayton, North Carolina, licensed in North Carolina (0010-10504) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1952920399
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADDISON AUSTIN ROE
Location Address2196 VETERANS PKWYClayton, NC 27520-8343
Mailing AddressPo Box 5105Belfast, ME 04915-5100 · (919) 220-5255 · Fax (919) 969-9131
Fax(919) 969-9131
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateApril 28, 20264 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
NPI 1952920399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-10504
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2196 VETERANS PKWY, Clayton, NC 27520

Secondary Practice Location 1

Location 111200 Governor Manly WayRaleigh, NC 27614-8599 · Phone (919) 562-9410

Accepted 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

Addison Austin Roe 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 ID9830517903
PECOS Enrollment IDI20200922002284
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 20

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
524 services52 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
303 services42 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
168 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
108 services101 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
99 services68 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
70 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27520 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

79.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.25
Promoting Interoperability100
Improvement Activities40
Cost68.22

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers15 claims15 services$229.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physical Therapist
2196 VETERANS PKWY
CLAYTON, NC 27520

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 Addison Roe's NPI number?

The NPI number for Addison Roe is 1952920399. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Addison Roe located?

Addison Roe practices at 2196 Veterans Pkwy, Clayton, NC 27520. The listed phone number is (919) 220-5255.

What is Addison Roe's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Addison Roe enrolled in Medicare?

Yes. Addison Roe 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 Addison Roe accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Addison Roe 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.

Is Addison Roe affiliated with any hospitals?

According to CMS data, Addison Roe is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Addison Roe was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.