Nisha Ann Roy
Nurse Practitioner • Modesto, CA
1923 Coffee Rd Ste 12
Modesto, CA 953552708
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 23, 2018; this date does not establish years in practice.
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Published CMS data list 156 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99284 — Emergency department visit with moderate level of medical decision making: 99 service units.
- 99285 — Emergency department visit with high level of medical decision making: 40 service units.
- 99283 — Emergency department visit with low level of medical decision making: 17 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 208 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ibuprofen — 44 prescription fills, including refills.
- Cephalexin — 40 prescription fills, including refills.
- Fluticasone Propionate — 25 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 9 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: 245. Middle half: 61 to 751.
Close to the middle for Medicare Part B services among clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 12 in 2019 to 156 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2024.
Practice Location & Contact Primary Location
1923 Coffee Rd Ste 12
Modesto, CA 953552708
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
150 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $16,517 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $12,423 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
236 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$1,406 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2022
All general payments: $84.81 across 4 records.
By nature of payment
- Food and Beverage: $84.81 across 4 records.
Reporting-company totals
- Amgen Inc.: $50.46 across 2 records.
- ALK-Abello, Inc: $21.23 across 1 record.
- Incyte Corporation: $13.12 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2022 (published June 30, 2026).
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nisha Roy has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nisha Roy as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Modesto and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 70% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: 245. Middle half: 61 to 751.
Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: 201. Middle half: 73 to 538.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: $28,170. Middle half: $7,312 to $84,129.
Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $18,428. Middle half: $6,851 to $46,917.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 29 clinicians with data). Median for this group: $22,158. Middle half: $5,826 to $60,248.
Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 2,070 clinicians with data). Median for this group: $13,640. Middle half: $4,992 to $34,836.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Modesto, CA (2024, 46 clinicians with data). Median for this group: 368. Middle half: 91 to 1,347.
Close to the middle for clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: 248. Middle half: 63 to 852.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Modesto, CA (2024, 46 clinicians with data). Median for this group: $11,121. Middle half: $938 to $68,270.
A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in California (2024, 3,221 clinicians with data). Median for this group: $13,982. Middle half: $995 to $121,041.
93 active clinicians are listed under Nurse Practitioner with a practice address in Modesto, CA (8,237 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Modesto
14% of these 93 clinicians have the CMS telehealth indicator.
38.7% of these 93 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 12 in 2019 to 156 in 2024.
- 2019: 12
- 2022: 13
- 2023: 114
- 2024: 156
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Medicare-allowed amount
Medicare-allowed amount went from $780 in 2019 to $16,517 in 2024.
- 2019: $780
- 2022: $803
- 2023: $12,253
- 2024: $16,517
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Paid by Medicare
Paid by Medicare went from $621 in 2019 to $12,423 in 2024.
- 2019: $621
- 2022: $642
- 2023: $8,583
- 2024: $12,423
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 213 in 2020 and 208 in 2024.
- 2020: 213
- 2021: 417
- 2022: 260
- 2023: 156
- 2024: 208
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30-day fills
30-day fills decreased 28% from 330 in 2020 to 236 in 2024.
- 2020: 330
- 2021: 665
- 2022: 414
- 2023: 210
- 2024: 236
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Part D drug cost
Part D drug cost decreased 94% from $24,179 in 2020 to $1,406 in 2024.
- 2020: $24,179
- 2021: $41,162
- 2022: $17,820
- 2023: $6,244
- 2024: $1,406
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $65.49 in 2019 to $84.81 in 2022.
- 2019: $65.49
- 2020: $119.44
- 2021: $826.70
- 2022: $84.81
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $84.81.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Amgen Inc. |
Food and Beverage
In-kind items and services
|
— | General | $29.56 |
| ALK-Abello, Inc |
Food and Beverage
In-kind items and services
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Odactra | General | $21.23 |
| Amgen Inc. |
Food and Beverage
In-kind items and services
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TEZSPIRE | General | $20.90 |
| Incyte Corporation |
Food and Beverage
Cash or cash equivalent
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OPZELURA | General | $13.12 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2019–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99284
Emergency department visit with moderate level of medical decision making
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99 | 94 | $522.42 | $98.94 |
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99285
Emergency department visit with high level of medical decision making
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40 | 40 | $931.18 | $143.46 |
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99283
Emergency department visit with low level of medical decision making
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17 | 17 | $251.88 | $57.86 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ibuprofen | Ibuprofen | 44 | 335 | $136.56 | 42 |
| Cephalexin | Cephalexin | 40 | 361 | $181.87 | 37 |
| Fluticasone Propionate | Fluticasone Propionate | 25 | 1,590 | $257.02 | 20 |
| Prednisone | Prednisone | 24 | 98 | $56.18 | 23 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 24 | 45 | $78.80 | 22 |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 14 | 129 | $81.84 | 14 |
| Ondansetron Odt | Ondansetron | 14 | 141 | $96.07 | 13 |
| Diclofenac Sodium | Diclofenac Sodium | 12 | 158 | $224.08 | 12 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 11 | 193 | $293.99 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-07-22NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 207KA0200X
A physician who specializes in the diagnosis, treatment, and management of allergies.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20180928002177
CA
4981955051
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Nurse Practitioner - Family
Registered Nurse
Career & Practice History
NPI enumerated May 23, 2018.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2018 to August 2026.
NPI Administrative Meta
Other Nurse Practitioners in Modesto
- Thuy Staats, NP
- Mari Rossini, NP
- Kendra Law
- Susan Tipton, RN NP
- Agatha Covarrubias, NP
- Brandi Johnson, MSN, RN, ACNP-BC
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Directory navigation, in NPI number order.
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Mailing Address
1923 Coffee Rd Ste 12
Modesto, CA 953552708
Phone: 2094098454