SANDEE W ROQUEMORE (PA-C) – Physician Assistant, NPI 1093739872
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
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Provider Addresses for SANDEE W ROQUEMORE (PA-C)
Highway 3, La Marque, Galveston County, Texas, 77568, United States
LA MARQUE, TX 775685936
Phone: (409) 933-0733
Fax: (409) 933-9777
Type: Location
4700 W SAM HOUSTON PKWY N STE 220
HOUSTON, TX 770418224
Phone: (713) 402-7824
Fax: (713) 570-0196
Type: Mailing
Dickinson Post Office, 1st Street East, Dickinson, Stark County, North Dakota, 58601, United States
DICKINSON, TX 775391263
Phone: (409) 933-0733
Fax: (409) 933-9777
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $348.
Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($151).
Total Amount
$348
General + Research + Ownership
Payments
9
Total payment records
General Amount
$348
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2012-04-13
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 |
|---|---|---|---|---|
| I20120413000250 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77568)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ND | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| - | TX | |
| - | TX |
Reviews
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