RANDY L ROGERS MD
NPI 1063428050
Family Medicine in Provo, UT

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 205, PROVO, UT 84604(801) 357-1770 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Randy L Rogers Md NPPES

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

RANDY L ROGERS MD (NPI 1063428050) is an individual family medicine provider in Provo, Utah, licensed in Utah (169530-1205) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Sanford School Of Medicine Of University Of South Dakota (1980).

NPPES Registry Identity

NPI1063428050
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRANDY L ROGERSCredential: MD
Location Address395 W COUGAR BLVD STE 205Provo, UT 84604-3328
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (801) 357-1770
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 1980
Enumeration DateJuly 31, 2006
Last NPPES UpdateJanuary 29, 2026
NPPES CertifiedJanuary 29, 2026
NPI 1063428050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 169530-1205
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.
395 W COUGAR BLVD STE 205, Provo, UT 84604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Randy L Rogers Md 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 ID345317384
PECOS Enrollment IDI20080917000545
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services42 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 17

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

Nurse Practitioner (Family)
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Clinic/Center (Urgent Care)
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Physician Assistant
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 205
PROVO, UT 84604
Physician Assistant
395 W COUGAR BLVD STE 205
PROVO, UT 84604

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 Randy Rogers's NPI number?

The NPI number for Randy Rogers is 1063428050. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Randy Rogers located?

Randy Rogers practices at 395 W Cougar Blvd Ste 205, Provo, UT 84604. The listed phone number is (801) 357-1770.

What is Randy Rogers's specialty?

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

Is Randy Rogers enrolled in Medicare?

Yes. Randy Rogers 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.

When was this NPI record last updated?

The NPPES record for Randy Rogers was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.