Individual provider Active NPI

Stephen Rogers, PA-C

  • Surgical Physician Assistant
  • Cody, WY
National Provider Identifier
1093185191
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MED-PAC-LIC-68103 Issued in MT
Practice address
424 Yellowstone Ave
Suite 140
Cody, WY 82414-9309
Phone
(307) 527-7100
Fax
(307) 527-7145
NPI assigned
Oct 1, 2015
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PT650 WY
Surgical Physician Assistant 363AS0400X MED-PAC-LIC-68103 MT Primary

Addresses

Primary practice location

424 Yellowstone Ave
Suite 140
Cody, WY 82414-9309

Mailing address

424 Yellowstone Ave
Suite 140
Cody, WY 82414-9309
Phone (307) 527-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151208001505 WY Practitioner - Physician Assistant 3375843741 Reassigns benefits to 3 organizations
I20180828001312 MT Practitioner - Physician Assistant 3375843741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powell Valley Healthcare IncGroup PAC ID 5092798561, shared by 5 NPIs, 31 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257

707 Sheridan Ave
Cody, WY 82414-3409
Phone (307) 527-7561

777 Ave H
Powell, WY 82435-2260
Phone (307) 527-7561

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MED-PAC-LIC-68103MTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jul 30, 2018 Accepting new patients
Billings Clinic Physician Assistant CurrentSince Mar 15, 2022 Accepting new patients
Billings Clinic CurrentSince Jul 30, 2018 Accepting new patients
Powell Valley Health Care Inc CurrentSince Oct 1, 2024 Accepting new patients
Powell Valley Healthcare Inc CurrentSince Oct 1, 2024 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

2702 8th Ave N
Billings, MT 59101
Phone (406) 238-2769

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

424 Yellowstone Ave
Ste 14
Cody, WY 82414

424 Yellowstone Ave
Ste 140
Cody, WY 82414
Phone (307) 527-7100

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

450 Mountain View St
Bldg C
Powell, WY 82435
Phone (307) 254-0661

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: srogers@billingsclinic.cernerdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1093185191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 140",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-527-7100",
            "fax_number": "307-527-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 YELLOWSTONE AVE",
            "address_2": "SUITE 140",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824149309",
            "telephone_number": "307-527-7100",
            "fax_number": "307-527-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-01",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PT650",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "MED-PAC-LIC-68103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

Verify at the official NPI Registry.