DR. DAVID MICHAEL ROE MD
NPI 1750362455
Orthopaedic Surgery in Salisbury, MD
NPI Status: Active since November 09, 2005
Contact Information
1675 WOODBROOKE DRIVE
SALISBURY, MD
ZIP 21804
Phone: (410) 749-4154
Fax: (410) 860-9583
- Individual
- Male
- Orthopaedic Surgery
- PECOS Enrolled
- Medicare Quality Reporting
About DAVID ROE
This page provides the complete NPI Profile along with additional information for David Roe, a provider established in Salisbury, Maryland with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1750362455 assigned on November 2005. The practitioner's primary taxonomy code is 207X00000X with license number D21598 (MD). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1750362455
- Provider Name
- DR. DAVID MICHAEL ROE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1675 WOODBROOKE DRIVE SALISBURY, MD 21804
- Location Phone
- (410) 749-4154
- Location Fax
- (410) 860-9583
- Mailing Address
- PO BOX 2415 SALISBURY, MD 21802
- Mailing Phone
- (410) 749-4154
- Mailing Fax
- (410) 860-9583
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-09-2005
- Last Update Date
- 06-06-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D21598
- License State
- MD
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41996501H524PE | OTHER (01) | BCBS TRAD PRODUCTS | |
| 221921800 | OTHER (01) | US DEPARTMENT OF LABOR | |
| 3226876 | OTHER (01) | AETNA | |
| NP0022 | OTHER (01) | MD | FREESTATE DELMARVA HEALTH |
| 327279 | OTHER (01) | PRIME HEALTH | |
| 006477411 | MEDICAID (05) | VA | |
| 66G45 | OTHER (01) | EMPIRE BC BS | |
| H524P838 | MEDICARE ID-TYPE UNSPECIFIED (04) | MD | |
| 22863 | OTHER (01) | MD | MDIPA OPTIMUM CHOICE |
| 306491300 | MEDICAID (05) | MD | |
| 009W409 | OTHER (01) | BCBS PROD FEP BLUE CHOICE | |
| D77568 | MEDICARE UPIN (02) | MD | |
| 0000187501 | MEDICAID (05) | DE | |
| 200022312 | OTHER (01) | RAILROAD MEDICARE |
Medicare Participation & PECOS Enrollment Status
David Roe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 21804 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.75
- Minimum New Patient Price $57.99
- Maximum New Patient Price $175.57
- Average New Patient Copayment $22.43
- Minimum New Patient Copayment $14.49
- Maximum New Patient Copayment $43.89
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.23
- Minimum Established Patient Price $18.66
- Maximum Established Patient Price $143.02
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.66
- Maximum Established Patient Copayment $35.75
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Closing the Referral Loop: Receipt of Specialist Report | 10% | 21 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Documentation of Current Medications in the Medical Record | 92% | 2724 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 45% | 159 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Falls: Screening for Future Fall Risk | 66% | 937 |
| Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 79% | 1557 |
| 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 twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 60% | 50 |
| 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 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 7% | 628 |
| 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 certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of High-Risk Medications in the Elderly | 0% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 900 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 6 | 2 | 4 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 6 | 4 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 6 + 4 + 4 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1750362455 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659352375 | DR. JOHN JOSEPH GRECO M.D. Individual | Orthopaedic Surgery | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1790766418 | DR. EDWARD JOHN MCGINNIS MD Individual | Orthopaedic Surgery | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1215918933 | DR. PASQUALE PETRERA M.D. Individual | Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery) | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1114942539 | DR. JAMES ANDREW TRAUGER MD Individual | Orthopaedic Surgery | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1437175536 | MISS JESSICA MARIE DUNN PA Individual | Physician Assistant | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1730295098 | PENINSULA ORTHOPAEDIC ASSOCIATES PA Organization | Orthopaedic Surgery | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1417023326 | DR. JASON MATTHEW SCOPP MD Individual | Orthopaedic Surgery (Sports Medicine) | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1669548574 | WALTON FRANCIS REDDISH CRNP Individual | Nurse Practitioner | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1336217082 | ROBERT SCOTT BECKER PAC Individual | Physician Assistant | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1639191687 | DR. RICHARD KANG MD Individual | Orthopaedic Surgery (Hand Surgery) | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
| 1871669796 | KEVIN RONALD MULL PAC Individual | Physician Assistant | 1675 WOODBROOKE DRIVE SALISBURY, MD 21804 (410) 749-4154 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750362455, enumerated in the NPI registry as an "individual" on November 09, 2005
The provider is located at 1675 Woodbrooke Drive Salisbury, Md 21804 and the phone number is (410) 749-4154
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid, Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.75 with an average copayment of $22.43 for new patient appointments. Established patients should expect a typical charge of $72.23 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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