ROGER K OWENS (PA-C) – Physician Assistant, NPI 1104895234

ROGER K OWENS (PA-C) is a healthcare provider. based in Maysville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-084 (KY). The NPI Number for ROGER K OWENS (PA-C) is 1104895234

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
ROGER K OWENS (PA-C)
NPI
1104895234
Phone
(606) 759-9353
Address
901 KENTON STATION DR
Enumeration Date
14 March 2006
Last Update Date
4 December 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6067594442
Graduation Year
1977 (49 years ago)
PAC ID
4183691165
Group Practice PAC ID
9032276274
Professional Enrollment ID
I20050531000281
Address ID
KY410569688MA1115XWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for ROGER K OWENS (PA-C)

  • 901, Kenton Station Drive, Maysville, Mason County, Kentucky, 41056, United States

    MAYSVILLE, KY 410569609

    Phone: (606) 759-9353

    Fax: (606) 759-0493

    Type: Mailing

  • 169 MEDICAL PARK DRIVE

    FLEMINGSBURG, KY 41041

    Phone: (606) 849-2675

    Fax: (606) 849-2658

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-08-12 • Largest payer in this snapshot: Organogenesis Inc. ($20).

Total Amount

$57

General + Research + Ownership

Payments

3

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-12

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: 2005-05-31

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
I20050531000281IPhysician AssistantKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes19744$0
99212Established patient office or other outpatient visit, 10-19 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 41056)

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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: 9032276274View full group profile
NameSpecialtyState
Physician AssistantKY
Nurse PractitionerKY
-KY
Internal Medicine, Pediatric MedicineKY
Nurse PractitionerTN
Physician AssistantKY
Internal MedicineKY
O T O L A R Y N G O L O G YOH
-KY
P O D I A T R YPA

Reviews

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Frequently asked questions

How do I look up ROGER K OWENS (PA-C) by NPI?
Use NPI 1104895234 when you need to reference ROGER K OWENS (PA-C) in forms, claims, or directories.
Does this profile mean ROGER K OWENS (PA-C) is currently active?
Yes — ROGER K OWENS (PA-C) appears active in the national provider directory.
What kind of provider is ROGER K OWENS (PA-C)?
The page reflects Physician Assistant for ROGER K OWENS (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for ROGER K OWENS (PA-C)?
The page summarizes Maysville, Kentucky for ROGER K OWENS (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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