CAROL L ROGE MD
NPI 1295794402
Family Medicine in Sioux City, IA

Active since March 17, 2006PECOS Enrolled
4230 HAMILTON BLVD, SIOUX CITY, IA 51104(712) 239-4900(712) 239-2866 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carol L Roge Md NPPES

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

CAROL L ROGE MD (NPI 1295794402) is an individual family medicine provider in Sioux City, Iowa, licensed in Iowa (24959) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295794402
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL L ROGECredential: MD
Location Address4230 HAMILTON BLVDSioux City, IA 51104-1137
Mailing Address814 Pierce St, Suite 102Sioux City, IA 51101-1058 · (712) 226-2600 · Fax (712) 226-2605
Fax(712) 239-2866
Sole ProprietorNo
Enumeration DateMarch 17, 2006
Last NPPES UpdateFebruary 7, 2011
NPI 1295794402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 24959
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.
4230 HAMILTON BLVD, Sioux City, IA 51104

Other Identifiers 11

Medicare UPIND90053IA
Medicare ID-Type Unspecified080187311IA · Railroad Medicare
Medicaid5609423SD
Other20082Sioux Valley
Other75305796351104A002Tricare
Medicaid75305796312NE
Medicaid1027201IA
Other47516IA · Wellmark Bcbs
Medicare ID-Type UnspecifiedI6940IA
Other9182435Dakota Cere
Other3879Midlands Choice

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carol L Roge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 24

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,501 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
415 services274 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
349 services262 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
230 services203 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
224 services203 patients
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.
191 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51104 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $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.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers38 claims71 services$5.29 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$39.86 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers12 claims12 services$101.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims22 services$39.33 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers50 claims253 services$19.42 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
1 supplier20 claims93 services$14.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Physician Assistant (Medical)
4230 HAMILTON BLVD, URGENT CARE NORTH SIDE
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Nurse Practitioner (Psychiatric/Mental Health)
4230 HAMILTON BLVD
SIOUX CITY, IA 51104
Family Medicine
4230 HAMILTON BLVD
SIOUX CITY, IA 51104

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 Carol Roge's NPI number?

The NPI number for Carol Roge is 1295794402. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Carol Roge located?

Carol Roge practices at 4230 Hamilton Blvd, Sioux City, IA 51104. The listed phone number is (712) 239-4900.

What is Carol Roge's specialty?

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

Is Carol Roge enrolled in Medicare?

Yes. Carol Roge is registered in the Medicare PECOS enrollment system.

What insurance does Carol Roge accept?

Health plans from Oscar Insurance Company list Carol Roge 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 Carol Roge was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.