MICHAEL A ROOF D.O.
NPI 1043693658
Family Medicine in Henderson, KY

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
1305 N ELM ST, HENDERSON, KY 42420(270) 827-7700 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael A Roof D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL A ROOF D.O. (NPI 1043693658) is an individual family medicine provider in Henderson, Kentucky, licensed in Kentucky (R3608) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of University Of Pikeville, Kentucky College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1043693658
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL A ROOFCredential: D.O.
Location Address1305 N ELM STHenderson, KY 42420-2783
Mailing Address1305 N Elm StHenderson, KY 42420-2783
Sole ProprietorYes
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2013
Enumeration DateJune 30, 2015
Last NPPES UpdateSeptember 17, 2015
✔ NPI 1043693658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · R3608
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1305 N ELM ST, Henderson, KY 42420

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael A Roof D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002116068
PECOS Enrollment IDI20170817003511, I20180914000202
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Roof reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1300 MERRITT DR
Henderson, KY 42420
  • Reassigned Medicare billing, Kentucky enrollment
  • 174 clinicians in this Medicare group
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Kentucky enrollment
  • 28 clinicians in this Medicare group
Family Medicine
730 W HAMPDEN AVE
Englewood, CO 80110
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Vohra Wound Physicians Of The West PC
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,098 services231 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
823 services194 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
608 services129 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
487 services105 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
344 services116 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
338 services90 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Medical-Surgical)
1305 N ELM ST
HENDERSON, KY 42420
Anesthesiology
1305 N ELM ST
HENDERSON, KY 42420
Pathology (Anatomic Pathology & Clinical Pathology)
1305 N ELM ST
HENDERSON, KY 42420
Dietitian, Registered
1305 N ELM ST
HENDERSON, KY 42420
Pain Medicine (Pain Medicine)
1305 N ELM ST
HENDERSON, KY 42420
Pharmacist (Pharmacotherapy)
1305 N ELM ST
HENDERSON, KY 42420
Occupational Therapist
1305 N ELM ST
HENDERSON, KY 42420
Pathology (Anatomic Pathology & Clinical Pathology)
1305 N ELM ST
HENDERSON, KY 42420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Roof's NPI number?

The NPI number for Michael Roof is 1043693658. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Michael Roof located?

Michael Roof practices at 1305 N Elm St, Henderson, KY 42420. The listed phone number is (270) 827-7700.

What is Michael Roof's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Roof enrolled in Medicare?

Yes. Michael Roof is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Roof's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Roof reassigns Medicare benefits to 3 organizations: Deaconess Clinic, Inc (Henderson, KY), Vohra Post Acute Care Physicians Of The East, PA (Miramar, FL) and Vohra Wound Physicians Of The West, P.C. (Englewood, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Roof's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Roof accept?

Health plans from CareSource list Michael Roof as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Roof was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.