DOUGLAS ALLEN RODGERS (MD) – Vascular Surgery Physician, NPI 1184113201

DOUGLAS ALLEN RODGERS (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. TP808 (KY). The NPI Number for DOUGLAS ALLEN RODGERS (MD) is 1184113201

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS ALLEN RODGERS (MD)
NPI
1184113201
Phone
(859) 344-1600
Address
PO BOX 635283
Enumeration Date
3 May 2018
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8125378350
Graduation Year
2018 (8 years ago)
PAC ID
4183973530
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20240229000718
Address ID
IN470251099LA368XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:8State licenses:3Digital endpointsOther names

105 VASCULAR SURGERY in KY

Provider Addresses for DOUGLAS ALLEN RODGERS (MD)

  • PO BOX 635283

    CINCINNATI, OH 452635283

    Phone: (859) 344-1600

    Fax: (859) 344-0091

    Type: Mailing

  • 20 MEDICAL VILLAGE DR

    EDGEWOOD, KY 410175401

    Phone: (859) 344-1600

    Fax: (859) 344-0091

    Type: Location

  • 5220 TEAKWOOD CT

    PITTSBURGH, PA 152091079

    Phone: (412) 779-7705

    Type: Mailing

  • University of Cincinnati Medical Center, 234, Goodman Street, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45219-2364, United States

    CINCINNATI, OH 452192364

    Phone: (513) 558-4748

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $6,084.

Total Amount is formed as General ($6,084) + Research ($0) + Ownership ($0) = $6,084.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Medtronic, Inc. ($2,553).

Total Amount

$6,084

General + Research + Ownership

Payments

39

Total payment records

General Amount

$6,084

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230922001898IVascular SurgeryKYTBD
I20240229000718IVascular SurgeryINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do I look up DOUGLAS ALLEN RODGERS (MD) by NPI?
Use NPI 1184113201 when you need to reference DOUGLAS ALLEN RODGERS (MD) in forms, claims, or directories.
Does this profile mean DOUGLAS ALLEN RODGERS (MD) is currently active?
Yes — DOUGLAS ALLEN RODGERS (MD) appears active in the national provider directory.
What kind of provider is DOUGLAS ALLEN RODGERS (MD)?
The page reflects Vascular Surgery Physician for DOUGLAS ALLEN RODGERS (MD). Clinical services aligned with this taxonomy classification.
Does DOUGLAS ALLEN RODGERS (MD) practice in Ohio?
You will see Cincinnati, Ohio on file for DOUGLAS ALLEN RODGERS (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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