Individual provider Active NPI

Roger E Emory, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Abingdon, VA
National Provider Identifier
1356331037
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
0101840454 Issued in VA
Practice address
112 Abingdon PL
Abingdon, VA 24211-5197
Phone
(276) 623-4500
Fax
(276) 623-4510
NPI assigned
Oct 25, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 0101840454 VA Primary

Addresses

Primary practice location

112 Abingdon PL
Abingdon, VA 24211-5197

Mailing address

112 Abingdon PL
Abingdon, VA 24211-5197
Phone (276) 623-4500

Other identifiers 4

IdentifierTypeStateIssuer
427211OtherCOMBINED INSURANCE
451661OtherVAANTHEM
541959466-01OtherJOHN DEERE
6900283MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120323000618 VA Practitioner - Plastic and Reconstructive Surgery 5799699377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Eastern Virginia Medical School, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

112 Abingdon PL
Abingdon, VA 24211-5197
Phone (276) 623-4500

260 McLaws Cir
Williamsburg, VA 23185-5650
Phone (757) 345-5599

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy11
Melanoma (skin cancer) excision264
Removal of tissue1-10
Removal of skin lesions13
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Specialists, PC Plastic and Reconstructive Surgery CurrentSince May 15, 2000 Accepting new patients
Plastic Surgery Specialists Past Accepting new patients

Locations

112 Abingdon Pl
Abingdon, VA 24211
Phone (276) 623-4500

260 McLaws Cir
Williamsburg, VA 23185
Phone (757) 345-5599

Organizations & group practices 2

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 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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356331037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ABINGDON PL",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242115197",
            "telephone_number": "276-623-4500",
            "fax_number": "276-623-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ABINGDON PL",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242115197",
            "telephone_number": "276-623-4500",
            "fax_number": "276-623-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMORY",
        "first_name": "ROGER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101840454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMBINED INSURANCE",
            "identifier": "427211",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "451661",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN  DEERE",
            "identifier": "541959466-01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6900283",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.