Individual provider Active NPI

Roger J Cotner, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bartlesville, OK
National Provider Identifier
1194705772
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4059 Issued in OK
Practice address
4200 SE Adams Rd
Bartlesville, OK 74006-8448
Phone
(918) 978-4275
Fax
(918) 214-8051
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 05-38440 KS
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4059 OK Primary

Addresses

Primary practice location

4200 SE Adams Rd
Bartlesville, OK 74006-8448

Mailing address

226 SE Debell
BLDG a
Bartlesville, OK 74006
Phone (918) 333-7200

Other identifiers 1

IdentifierTypeStateIssuer
200051200AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050607000803 OK Practitioner - Emergency Medicine 1557308921 Reassigns benefits to 2 organizations
I20150922002103 KS Practitioner - Emergency Medicine 1557308921 Reassigns benefits to 2 organizations
I20230531000698 MO Practitioner - Emergency Medicine 1557308921 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mep Kansas LLCGroup PAC ID 1052437217, 61 clinicians
Ray County Memorial HospitalGroup PAC ID 4688560634, 26 clinicians
Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

12300 Metcalf Ave
Overland Park, KS 66213-1324
Phone (913) 317-7000

904 Wollard Blvd
Richmond, MO 64085-2229
Phone (816) 470-5432

929 N Saint Francis St
Via Christi Hospital St Francis
Wichita, KS 67214-3821
Phone (316) 268-5000

Hospital & facility affiliations

  • Ray County Memorial Hospital Hospital, Richmond, MO, CCN 261327
  • Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
93.94
Improvement activities
40
Cost
86.7

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
84.87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-38440KSMDEmergency Medicine Physician
4059OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 1, 2014 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Sep 11, 2015 Accepting new patients
VA Eastern Kansas Health Care System Emergency Medicine CurrentSince Jul 8, 2023 Accepting new patients
Cep America - Kansas LLC Emergency Medicine CurrentSince Sep 11, 2015 Accepting new patients
Cep America - Kansas LLC Emergency Medicine Current Accepting new patients
St. John Physicians, Inc. Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Ray County Memorial Hospital CurrentSince Jun 1, 2023 Accepting new patients
Mep Kansas LLC Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Sunshine Care Partners Inc. PastSince Mar 1, 2018 Accepting new patients
Medevac Midamerica Inc Past Accepting new patients
Thomas W. Britt D.O., P.C. Emergency Medicine PastSince Jan 2, 2015 Accepting new patients
Southcrest Emergency Physicians PC Emergency Medical Services Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

13200 State Line Rd
Shawnee Mission, KS 66209
Phone (913) 222-8380

12300 Metcalf Ave
Shawnee Mission, KS 66213
Phone (913) 317-7000

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

904 Wollard Blvd
Richmond, MO 64085
Phone (816) 470-5432

226 SE Debell Ave
Bldg A
Bartlesville, OK 74006
Phone (918) 333-7200

3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555

1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Interoperability endpoints

  • Direct secure messaging: roger.cotner@direct.stjohnhealthsystem.com
  • Direct secure messaging: rcotner746167@direct.ochin.org
  • Direct secure messaging: rcotner366850@direct.saint-lukes.org

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 3

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1194705772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL",
            "address_2": "BLDG A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "74006",
            "telephone_number": "918-333-7200",
            "fax_number": "918-331-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SE ADAMS RD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068448",
            "telephone_number": "918-978-4275",
            "fax_number": "918-214-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTNER",
        "first_name": "ROGER",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-38440",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200051200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

Verify at the official NPI Registry.