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Dr. Michael Rollock , PhD

Psychologist - Clinical โ€ข Augusta, GA

Active NPI 1629303870 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

997 Saint Sebastian Way
Augusta, GA 309122613

Call 7067216719 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

997 Saint Sebastian Way

Augusta, GA 309122613

Telephone 7067216719
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Augusta, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Wellstar Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Massachusetts Medical School

Graduation Year

2010

Medicare patients

22 people with Original Medicare in 2023

Different Original Medicare patients in 2023; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2023.

Medicare-allowed amount

About $6,133 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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 โ€“ by Provider and Service, 2023.

Paid by Medicare

About $4,700 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

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 โ€“ by Provider and Service, 2023.

Years since graduation

16 years (graduated 2010)

CMS Doctors and Clinicians data list 2010 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Rollock 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Rollock as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Augusta and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Rollock are from 2023.

48 active clinicians are listed under Psychologist - Clinical with a practice address in Augusta, GA (1,183 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Augusta

10.4% of these 48 clinicians have the CMS telehealth indicator.

18.8% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2022 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 โ€“ by Provider and Service data, 2021โ€“2023; 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
96131 Evaluation of psychological test, each additional hour
34 12 $250.29 $74.35
90791 Psychiatric diagnostic evaluation
16 16 $308.00 $146.64
96130 Evaluation of psychological test, first hour
12 12 $276.00 $104.90

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-04-12
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES GA PSY003572

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Anesthesiology - Addiction Medicine

NUCC Taxonomy Code: 207LA0401X

License # reported to NPPES GA PSY003572

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL PSYCHOLOGIST

Medicare Enrollment ID

I20140314001051

Enrollment State Jurisdiction

GA

PECOS Control ID

8628209632

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

1120 15th St, Augusta, GA 309120004

Phone: 7067218623

Wellstar Medical Group Llc

989 Saint Sebastian Way, Augusta, GA 309120004

Phone: 7067212171

Secondary Practice Locations

1120 15th St

Augusta, GA 309123815

Phone: 7067218623

3405 Mike Padgett Hwy

Augusta, GA 309063815

Phone: 7067927126

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Gina Duncan , MD

Psychiatry & Neurology - Psychiatry

NPI 1588790901

Doctor of Medicine (M.D.)

Dr. Matthew Kridel , PhD

Psychologist - Health

NPI 1588221808

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐Ÿ“
Updated Practice Location April 12, 2023

Registered at 997 SAINT SEBASTIAN WAY, AUGUSTA, GA 309122613 (Tel: 7067216719)

๐Ÿข
Secondary Practice Location Registered April 12, 2023

Additional practice office at 1120 15th St, Augusta, GA 309123815

๐Ÿข
Secondary Practice Location Registered April 12, 2023

Additional practice office at 3405 Mike Padgett Hwy, Augusta, GA 309063815

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2023

Anesthesiology (license number reported to NPPES: GA PSY003572)

๐Ÿ“
Updated Practice Location December 20, 2019

Registered at 3405 MIKE PADGETT HWY, AUGUSTA, GA 309063815 (Tel: 7067927126)

๐Ÿ“
Updated Business Mailing Address December 20, 2019

Registered at 997 SAINT SEBASTIAN WAY, AUGUSTA, GA 309122613 (Tel: 7067216719)

๐Ÿ‘ค
Provider Name / Credentials Updated December 20, 2019

Recorded as MICHAEL ROLLOCK, PH.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2019

Psychologist (license number reported to NPPES: GA PSY003572)

โœ…
NPI Profile Active October 06, 2009

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 06, 2009

Registered at 85 E NEWTON ST, M912, BOSTON, MA 021182340 (Tel: 6174144646)

๐Ÿ“
Business Mailing Address (Initial Record) October 06, 2009

Registered at 85 E NEWTON ST, M912, BOSTON, MA 021182340 (Tel: 6174144646)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 06, 2009

Recorded as MICHAEL ROLLOCK

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2009

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration October 06, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629303870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2009
Last Update: April 12, 2023
Sole Proprietor: No

Other Psychologist - Clinicals in Augusta

All Psychologist - Clinicals in Augusta

Mailing Address

997 Saint Sebastian Way

Augusta, GA 309122613

Phone: 7067216719

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.