JEFFREY PHILIP ROGER (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1376574160
Emergency Medical Services (Emergency Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JEFFREY PHILIP ROGER (M.D.)
745 W MOANA LN STE 300
RENO, NV 895094980
Phone: (970) 640-7000
Type: Mailing
747 Broadway
Seattle, WA 981224379
Phone: (206) 386-6000
Fax: (206) 386-2625
Type: Location
2005, Northwest Sammamish Road, Issaquah, King County, Washington, 98027, United States
ISSAQUAH, WA 98027
Phone: (425) 394-0610
Fax: (425) 394-0809
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: 2024-10-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050210000984 | I | Emergency Medicine | WA | TBD |
| I20201116002253 | I | Emergency Medicine | AK | TBD |
| I20241011000622 | I | Emergency Medicine | 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 89509)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | WA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 149 | 130 |
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