RANDALL JAMES ROGERS (PA-C, LMT) – Physician Assistant, NPI 1083741722

RANDALL JAMES ROGERS (PA-C, LMT) is a healthcare provider. based in Eustis, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C, LMT. They hold a License No. MA58093 (FL). The NPI Number for RANDALL JAMES ROGERS (PA-C, LMT) is 1083741722

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
RANDALL JAMES ROGERS (PA-C, LMT)
NPI
1083741722
Phone
(352) 357-5311
Address
601 JENNINGS AVE
Enumeration Date
28 February 2007
Last Update Date
16 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078314040
Graduation Year
2002 (24 years ago)
PAC ID
8325198989
Group Practice PAC ID
1557722410
Professional Enrollment ID
I20090603000093
Address ID
FL327015102AL661XXDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for RANDALL JAMES ROGERS (PA-C, LMT)

  • 601 JENNINGS AVE

    EUSTIS, FL 327266148

    Phone: (352) 357-5311

    Fax: (352) 357-0659

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $420.

Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Abbott Laboratories ($249).

Total Amount

$420

General + Research + Ownership

Payments

12

Total payment records

General Amount

$420

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2009-06-03

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
I20090603000093IPhysician AssistantFLTBD

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 minutes164141$0
99213Established patient office or other outpatient visit, 20-29 minutes7468$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
G0442Annual alcohol misuse screening, 5 to 15 minutes2222$0
G0444Annual depression screening, 5 to 15 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 32726)

Loading plans...

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: 1557722410View full group profile
NameSpecialtyState
Nurse PractitionerFL
Physician AssistantFL
Family PracticeFL
Family Practice, Emergency MedicineFL
Family PracticeFL
Family PracticeLA
Nurse PractitionerFL
Physician AssistantFL
Physician AssistantTX
Internal MedicineFL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to RANDALL JAMES ROGERS (PA-C, LMT)?
The federal identifier for RANDALL JAMES ROGERS (PA-C, LMT) is NPI 1083741722.
Is RANDALL JAMES ROGERS (PA-C, LMT) active in the national directory?
RANDALL JAMES ROGERS (PA-C, LMT)'s public NPI profile is in an active state.
Does RANDALL JAMES ROGERS (PA-C, LMT) list a primary specialty?
If you are matching referrals, note Physician Assistant for RANDALL JAMES ROGERS (PA-C, LMT). Clinical services aligned with this taxonomy classification.
What location metadata exists for RANDALL JAMES ROGERS (PA-C, LMT)?
The page summarizes Eustis, Florida for RANDALL JAMES ROGERS (PA-C, LMT); expand the address list for detail.
What if Eustis, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

MS. LINDA L CRISWELL (PA-C)

Physician Assistant
39, East Atwater Avenue, Eustis, Lake County, Florida, 32726, United States
NPI: 1194724146

BEAU BRIAN NACKE

Physician Assistant
19038 LAKE SWATARA DR
NPI: 1952838898

NATALIE ANN FARINAS (PA-C)

Physician Assistant
1755 LAKE TERRACE DR
NPI: 1962282194