BETHANI K ROSE D.O.
NPI 1326367715
Family Medicine in Pikeville, KY

Q: What is Bethani Rose's NPI number?

The NPI number for Bethani Rose is 1326367715. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Q: What is Bethani Rose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bethani Rose was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 25, 2010PECOS EnrolledAccepts Medicare Assignment

178 DOUGLAS PKWY, PIKEVILLE, KY 41501(606) 639-3135 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bethani K Rose D.o. NPPES

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

BETHANI K ROSE D.O. (NPI 1326367715) is an individual family medicine provider in Pikeville, Kentucky, licensed in Kentucky (03500) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Pikeville Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1326367715

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBETHANI K ROSECredential: D.O.

Location Address178 DOUGLAS PKWYPikeville, KY 41501-6970

Mailing Address1709 Ky Route 321 Ste 3Prestonsburg, KY 41653-9097 · (606) 886-8546

Phone(606) 639-3135

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2010

Enumeration DateMay 25, 2010

Last NPPES UpdateSeptember 12, 2024

NPPES CertifiedSeptember 12, 2024

✔ NPI 1326367715 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 · 03500

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.

178 DOUGLAS PKWY, Pikeville, KY 41501

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Secondary Practice Locations 4

Location 11709 Ky Route 321 Ste 3Prestonsburg, KY 41653-9097 · Phone (606) 886-8546

Location 2246 Ky Route 979Harold, KY 41635-9046 · Phone (606) 487-2200

Location 37629 Ky Route 979Grethel, KY 41631-6304 · Phone (606) 587-2200

Location 450 Weddington Branch Rd Ste BPikeville, KY 41501-3296 · Phone (606) 637-6377

Accepted Insurance

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

Bethani K Rose 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 ID2769626209

PECOS Enrollment IDI20130923000693

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 Bethani Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Big Sandy Health Care Inc

Same address

Federally Qualified Health Center (FQHC)

178 DOUGLAS PKWY, SHELBY VALLEY CLINIC
Pikeville, KY 41501

Reassigned Medicare billing, Kentucky enrollment
Also billed through NPI 1972173136 (Kentucky)
70 clinicians in this Medicare group

NPI 1700828597 (606) 639-3135

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 5

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

87 services49 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.

64 services48 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.

44 services38 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

33 services31 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Pikeville Medical Center

Acute Care Hospitals · Pikeville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180044

Location911 Bypass RoadPikeville, KY 41501 · Pike County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41501 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers17 claims1,950 services$0.10 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers13 claims13 services$26.01 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 16

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

DR. JAMES T THOMPSON PHARM.D.

Pharmacist

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-9045

ELIZABETH ANN MERLO PHARM D

Pharmacist

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-9045

KASANDRA SUE COLE DMD

Dentist

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-3135

MRS. KIMBERLY RYAN MAY PHARMD

Pharmacist

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-9045

DR. WALTER BLEVINS JR. DMD

Dentist (General Practice)

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-3135

BIG SANDY HEALTH CARE INC

Pharmacy (Clinic Pharmacy)

178 DOUGLAS PKWY, SHELBY VALLEY CLINIC PHARMACY
PIKEVILLE, KY 41501

Pike County (606) 639-3136

SARAH THACKER APRN

Nurse Practitioner (Family)

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-3135

DENA BARTLEY APRN

Nurse Practitioner (Family)

178 DOUGLAS PKWY
PIKEVILLE, KY 41501

Pike County (606) 639-3135

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 Bethani Rose's NPI number?

The NPI number for Bethani Rose is 1326367715. It was assigned to this individual provider in the NPPES registry on May 25, 2010.

Where is Bethani Rose located?

Bethani Rose practices at 178 Douglas Pkwy, Pikeville, KY 41501. The listed phone number is (606) 639-3135.

What is Bethani Rose's specialty?

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

Is Bethani Rose enrolled in Medicare?

Yes. Bethani Rose 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 Bethani Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethani Rose reassigns Medicare benefits to Big Sandy Health Care Inc (Pikeville, 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 Bethani Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bethani Rose accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Bethani Rose 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 Bethani Rose affiliated with any hospitals?

According to CMS data, Bethani Rose is affiliated with Pikeville Medical Center.

When was this NPI record last updated?

The NPPES record for Bethani Rose was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.