SARA M ROSE (PA) – Physician Assistant, NPI 1457851404

SARA M ROSE (PA) is a healthcare provider. based in Lebanon, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2018005544 (MO). The NPI Number for SARA M ROSE (PA) is 1457851404

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SARA M ROSE (PA)
NPI
1457851404
Phone
(417) 533-6560
Address
331 HOSPITAL DR STE A
Enumeration Date
16 February 2018
Last Update Date
22 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737762600
Graduation Year
2017 (9 years ago)
PAC ID
6002177664
Group Practice PAC ID
5092769703
Professional Enrollment ID
I20180223001100
Address ID
MO639011573PO3100XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for SARA M ROSE (PA)

  • 331 HOSPITAL DR STE A

    LEBANON, MO 655369251

    Phone: (417) 533-6560

    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 5 Open Payments records for all available years, with a total value of $178.

Total Amount is formed as General ($178) + Research ($0) + Ownership ($0) = $178.

Last reported payment date: 2024-12-29 • Largest payer in this snapshot: Stryker Corporation ($119).

Total Amount

$178

General + Research + Ownership

Payments

5

Total payment records

General Amount

$178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-29

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: 2018-02-23

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
I20180223001100IPhysician AssistantMOTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg25640$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg19458$0
99213Established patient office or other outpatient visit, 20-29 minutes13489$0
20610Aspiration and/or injection of fluid from large joint12289$0
99203New patient office or other outpatient visit, 30-44 minutes101101$0
View full utilization report →

Insurance plans in this area (ZIP 65536)

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: 5092769703View full group profile
NameSpecialtyState
Radiation OncologyFL
Cardiovascular Disease (Cardiology)MO
-MO
Family Practice, Undersea And Hyperbaric MedicineTX
Cardiovascular Disease (Cardiology), Interventional CardiologyMO
P S Y C H I A T R YTX
-MO
Nurse PractitionerMO
-MO
-MO

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

Can I verify SARA M ROSE (PA) with an NPI only?
You can start verification with NPI 1457851404 for SARA M ROSE (PA), then check state licensing separately.
Does CMS list SARA M ROSE (PA) as active?
Yes — SARA M ROSE (PA) is active in the NPI listing used on this page.
What is SARA M ROSE (PA)'s primary classification?
Physician Assistant is the headline specialty for SARA M ROSE (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect SARA M ROSE (PA) on a map?
Expect Lebanon, Missouri as a primary anchor for SARA M ROSE (PA) unless the record lists multiple sites.
Is the information about SARA M ROSE (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

LOREN E II SMITH (PA-C)

Physician Assistant
30713 HIGHWAY BB
NPI: 1659334514
331 HOSPITAL DR STE C
NPI: 1013944024

MR. DAVID DOUGLAS (P.A.C)

Physician Assistant
904 S Pine St
NPI: 1396760476

KATHY G. BECKNER (PA-C)

Physician Assistant
1075 Nichols Rd
NPI: 1831209089

PATRICIA L. DUGGAN (PA-C)

Physician Assistant
3850 S NATIONAL AVE STE 705
NPI: 1851471676
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
NPI: 1477630663

KATRINA J. PAULSON (PA-C)

Physician Assistant
120 Hospital Dr
NPI: 1124199724

Mercy Clinic-Agape Family Medicine

Rural Health Clinic/Center
645 MARYVILLE CENTRE DR FL 3
NPI: 1215066956

Mercy Clinic-Lebanon-Family Medicine

Rural Health Clinic/Center
645 MARYVILLE CENTRE DR FL 3
NPI: 1447389127