ROGER KENNETH MANSON (M.D.) – Emergency Medicine Physician, NPI 1457321960

ROGER KENNETH MANSON (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 23553 (NE). The NPI Number for ROGER KENNETH MANSON (M.D.) is 1457321960

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
ROGER KENNETH MANSON (M.D.)
NPI
1457321960
Phone
(253) 968-2252
Address
MADIGAN ARMY MEDICAL CENTER
Enumeration Date
25 January 2006
Last Update Date
1 March 2012

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8085224000
Graduation Year
2004 (22 years ago)
PAC ID
2769533652
Group Practice PAC ID
6305759754
Professional Enrollment ID
I20090707000139
Address ID
HI968133097HO888XXSTXX400
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

1,206 EMERGENCY MEDICINE in WA

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Provider Addresses for ROGER KENNETH MANSON (M.D.)

  • Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States

    9040 REID ST., ATTN: MCHJ-QCR

    TACOMA, WA 984310001

    Phone: (253) 968-2252

    Fax: (253) 968-3278

    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: 2009-07-07

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
I20090707000139IEmergency MedicineHITBD

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
99285Emergency department visit with high level of medical decision making9191$0
99284Emergency department visit with moderate level of medical decision making9087$0
99283Emergency department visit with low level of medical decision making2525$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1616$0
View full utilization report →

Insurance plans in this area (ZIP 98431)

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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: 6305759754View full group profile
NameSpecialtyState
-HI
-HI
-HI
N E U R O L O G YHI
Interventional Radiology, Interventional CardiologyCA
Physician AssistantGA
Emergency MedicineHI
N E U R O S U R G E R YNC
-HI
General PracticeHI

Reviews

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Frequently asked questions

What identifier follows ROGER KENNETH MANSON (M.D.) across health systems?
The NPI 1457321960 uniquely identifies ROGER KENNETH MANSON (M.D.) in U.S. healthcare data.
Is ROGER KENNETH MANSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists ROGER KENNETH MANSON (M.D.) as active.
What type of care does ROGER KENNETH MANSON (M.D.) provide?
ROGER KENNETH MANSON (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ROGER KENNETH MANSON (M.D.)?
ROGER KENNETH MANSON (M.D.) shows a connection to Tacoma, Washington in registry-derived data.
Can I export ROGER KENNETH MANSON (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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