JOHN A ROG (MD) – Family Medicine Physician, NPI 1073604518

JOHN A ROG (MD) is a healthcare provider. based in Fort myers, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. ME0074753 (FL). The NPI Number for JOHN A ROG (MD) is 1073604518

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
JOHN A ROG (MD)
NPI
1073604518
Phone
(877) 856-3774
Address
2675 WINKLER AVE FL 2
Enumeration Date
28 September 2006
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
9415528808
Graduation Year
1995 (31 years ago)
PAC ID
7517082647
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20100914000235
Address ID
FL342379026SA3530XRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for JOHN A ROG (MD)

  • Winkler Avenue, Fort Myers, Lee County, Florida, 33966, United States

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Fax: (239) 599-2612

    Type: Mailing

  • 2237, Lithia Center Lane, Valrico, Hillsborough County, Florida, 33594, United States

    VALRICO, FL 335965676

    Phone: (813) 662-0123

    Fax: (813) 662-9422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 275 Open Payments records for all available years, with a total value of $4,688.

Total Amount is formed as General ($4,688) + Research ($0) + Ownership ($0) = $4,688.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: PFIZER INC. ($745).

Total Amount

$4,688

General + Research + Ownership

Payments

275

Total payment records

General Amount

$4,688

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100914000235IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1,024380$0
36415Insertion of needle into vein for collection of blood sample440331$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count417332$0
80053Blood test, comprehensive group of blood chemicals392312$0
80061Blood test, lipids (cholesterol and triglycerides)375311$0
View full utilization report →

Insurance plans in this area (ZIP 33901)

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Provider's Procedures

JOHN A ROG (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL90670Pneumococcal vaccine for injection into muscle5151

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm JOHN A ROG (MD)'s NPI?
Yes. JOHN A ROG (MD) is listed with NPI 1073604518 in the public NPI dataset.
Is JOHN A ROG (MD) listed as active for patients and plans?
The listing shows JOHN A ROG (MD) as active in the NPI system.
What is JOHN A ROG (MD) best known for clinically?
Directory data describes JOHN A ROG (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does JOHN A ROG (MD) serve?
JOHN A ROG (MD)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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