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RODERICK J. TOMPKINS JR. M.D.
NPI 1306892559
Surgery in Ashland, KY

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
613 23RD ST, SUITE 440, ASHLAND, KY 41101(606) 329-2888(606) 329-2890 Get Directions Write a Review

NPPES record last updated: May 22, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Roderick J. Tompkins Jr. M.d. NPPES

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

RODERICK J. TOMPKINS JR. M.D. (NPI 1306892559) is an individual surgery provider in Ashland, Kentucky, licensed in Kentucky (32875) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306892559
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRODERICK J. TOMPKINS JR.Credential: M.D.
Location Address613 23RD ST, SUITE 440Ashland, KY 41101-2878
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 329-2888
Fax(606) 329-2890
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1992
Enumeration DateMay 26, 2006
Last NPPES UpdateMay 22, 2019
✔ NPI 1306892559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in KY · 32875
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
613 23RD ST, Ashland, KY 41101
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1609 N Carol Malone Blvd Ste 105Grayson, KY 41143-1123 · Phone (606) 408-8500 · Fax (606) 408-6005
Location 2391 W Tom T Hall BlvdOlive Hill, KY 41164-7688 · Phone (606) 286-8039 · Fax (606) 286-6108

Other Identifiers 3

Medicaid64328750KY
Medicaid2026757OH
Medicaid3810005113WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Roderick J. Tompkins Jr. M.d. 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 ID4183669625
PECOS Enrollment IDI20091231000304, I20250523000394
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 Reassignment

Medicare enrollment records show Roderick Tompkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kings Daughters Medical Specialties Inc
Same address
Orthopaedic Surgery
613 23RD ST STE G30
Ashland, KY 41101
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 531 clinicians in this Medicare group
NPI 1053643981 (606) 327-0036

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 10

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 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.
64 services53 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.
54 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

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.

CUMBERLAND CARDIOLOGY PSC
Internal Medicine (Cardiovascular Disease)
613 23RD ST, STE 230
ASHLAND, KY 41101
Boyd County (606) 324-4745
KENTUCKY HEART INSTITUTE
Internal Medicine (Cardiovascular Disease)
613 23RD ST, SUITE G-10
ASHLAND, KY 41101
Boyd County (606) 329-1997
MS. DIANA SUE KING ARNP
Nurse Practitioner (Family)
613 23RD ST, SUITE 230
ASHLAND, KY 41101
Boyd County (606) 408-3712
MARDINI & ASSOCIATES MD, PSC
Internal Medicine (Gastroenterology)
613 23RD ST, SUITE 120
ASHLAND, KY 41101
Boyd County (859) 684-6964
KENTUCKY HEART INSTITUTE INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
613 23RD ST, SUITE 210
ASHLAND, KY 41101
Boyd County (606) 326-9847
DR. ERIC H BRONSTEIN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
613 23RD ST, SUITE 210
ASHLAND, KY 41101
Boyd County (606) 326-9847
KENTUCKY HEART INSTITUTE
Surgery (Vascular Surgery)
613 23RD ST, SUITE 140
ASHLAND, KY 41101
Boyd County (606) 326-1675
ZANE A DARNELL MD
Internal Medicine (Cardiovascular Disease)
613 23RD ST, STE 230
ASHLAND, KY 41101
Boyd County (606) 324-4745

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 Roderick Tompkins's NPI number?

The NPI number for Roderick Tompkins is 1306892559. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Roderick Tompkins located?

Roderick Tompkins practices at 613 23rd St Suite 440, Ashland, KY 41101. The listed phone number is (606) 329-2888.

What is Roderick Tompkins's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Roderick Tompkins enrolled in Medicare?

Yes. Roderick Tompkins 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 organization bills Medicare for Roderick Tompkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Tompkins reassigns Medicare benefits to Kings Daughters Medical Specialties Inc (Ashland, KY). The 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 Roderick Tompkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roderick Tompkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Roderick Tompkins 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.

Is Roderick Tompkins affiliated with any hospitals?

According to CMS data, Roderick Tompkins is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Roderick Tompkins was last updated on May 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.