DR. REBECCA ELISE POPHAM (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1629377411
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
92 SPORTS MEDICINE in KY
Provider Addresses for DR. REBECCA ELISE POPHAM (D.O.)
560 S LOOP RD
EDGEWOOD, KY 410173405
Phone: (859) 301-2663
Fax: (859) 817-7848
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2015-12-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151222002151 | I | Sports Medicine | KY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 444 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 180 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 112 | 102 | $0 |
| 73562 | X-ray of knee, 3 views | 88 | 76 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 69 | 69 | $0 |
Insurance plans in this area (ZIP 41017)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Physical Medicine And Rehabilitation | OH | |
| Orthopedic Surgery | OH | |
| Physical Medicine And Rehabilitation | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Physical Medicine And Rehabilitation, Sports Medicine | KY | |
| Physical Therapist In Private Practice | MO | |
| Orthopedic Surgery, Hand Surgery | OH | |
| Internal Medicine, Pediatric Medicine | OH | |
| Internal Medicine | OH |
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