SUNDANCE L ROGERS (MD) – Internal Medicine Physician, NPI 1972696912

SUNDANCE L ROGERS (MD) is a healthcare provider. based in Bainbridge island, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00033047 (WA). The NPI Number for SUNDANCE L ROGERS (MD) is 1972696912

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SUNDANCE L ROGERS (MD)
NPI
1972696912
Phone
(206) 842-5631
Address
380 Winslow Way E
Enumeration Date
2 October 2006
Last Update Date
2 July 2018

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
2065258000
Graduation Year
1993 (33 years ago)
PAC ID
0042271660
Group Practice PAC ID
9830002617
Professional Enrollment ID
I20041026000659
Address ID
WA981053999SE4575XNEXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,058 INTERNAL MEDICINE in WA

Provider Addresses for SUNDANCE L ROGERS (MD)

  • 380 Winslow Way E

    Bainbridge Island, WA 981102424

    Phone: (206) 842-5631

    Type: Location

  • Virginia Mason Bainbridge Island Medical Center, 1344, Wintergreen Ln NE, Woodland Village, Bainbridge Island, Kitsap County, Washington, 98110, United States

    BAINBRIDGE ISLAND, WA 981105118

    Phone: (206) 842-5632

    Fax: (206) 842-5992

    Type: Mailing

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: 2004-10-26

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
I20041026000659IInternal MedicineWATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes800524$0
36415Insertion of needle into vein for collection of blood sample627495$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit497497$0
99213Established patient office or other outpatient visit, 20-29 minutes391293$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional205120$0
View full utilization report →

Insurance plans in this area (ZIP 98110)

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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: 9830002617View full group profile
NameSpecialtyState
Nurse PractitionerUT
Internal Medicine, Critical Care (Intensivists)WA
Internal Medicine, GastroenterologyWA
-WA
-WA
-WA
Internal MedicineWA
Internal MedicineWA
-WA
-WA

Reviews

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Frequently asked questions

What number should I use to identify SUNDANCE L ROGERS (MD) for billing?
Administrative and clinical systems typically use NPI 1972696912 for SUNDANCE L ROGERS (MD).
Is SUNDANCE L ROGERS (MD)'s NPI status active today?
Active status means SUNDANCE L ROGERS (MD)'s NPI record is not deactivated in the public file.
What services align with SUNDANCE L ROGERS (MD)'s listing?
SUNDANCE L ROGERS (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to SUNDANCE L ROGERS (MD)?
The directory associates SUNDANCE L ROGERS (MD) with Bainbridge Island, Washington. Check all listed addresses for suites or satellite offices.
Who maintains SUNDANCE L ROGERS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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