1. Home
  2. Directory
  3. Pennsylvania
  4. Limerick
  5. Nurse Practitioner
  6. NPI Profile

ROGER TOMMY MIDDLETON JR. DNP, CRNP, FNP-BC
NPI 1821706698
Nurse Practitioner - Family in Limerick, PA

Active since November 10, 2022PECOS EnrolledAccepts Medicare Assignment
410 W LINFIELD TRAPPE RD STE 100, LIMERICK, PA 19468(610) 495-2650(610) 495-2650 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2023, Nov 10, 2022 (2 updates tracked since 2022).

About Roger Tommy Middleton Jr. Dnp, Crnp, Fnp-bc NPPES

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

ROGER TOMMY MIDDLETON JR. DNP, CRNP, FNP-BC (NPI 1821706698) is an individual family provider in Limerick, Pennsylvania, licensed in Pennsylvania (SP026400) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821706698
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameROGER TOMMY MIDDLETON JR.Credential: DNP, CRNP, FNP-BC
Location Address410 W LINFIELD TRAPPE RD STE 100Limerick, PA 19468-4295
Mailing Address410 W Linfield Trappe Rd Ste 100Limerick, PA 19468-4295 · (610) 495-2650 · Fax (610) 495-2648
Phone(610) 495-2650
Fax(610) 495-2650
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 10, 2022
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1821706698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP026400
410 W LINFIELD TRAPPE RD STE 100, Limerick, PA 19468
Open in Google Maps ↗

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

Roger Tommy Middleton Jr. Dnp, Crnp, Fnp-bc 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 ID345613204
PECOS Enrollment IDI20230224001135
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

2

Medicare enrollment records show Roger Middleton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Penn Medicine-Pma
6.4 mi
Pulmonary Disease
826 MAIN ST STE 100
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1457023277 (610) 933-8484
Clinical Care Associates Of The University Of Pennsylvania Health
15 mi
Internal Medicine
250 KING OF PRUSSIA RD, 4TH FLOOR
Radnor, PA 19087
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 983 clinicians in this Medicare group
NPI 1972682995 (610) 902-1720

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 9

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 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.
184 services146 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.
101 services82 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
32 services27 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.
19 services18 patients
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.
17 services12 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
16 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19468 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

MATTHEW NAEGLE M.D.
Internal Medicine (Rheumatology)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2300
SOMERA ALI M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2300
SARAH IRENE KEELEY-COTOV MSN, FNP-C
Nurse Practitioner (Family)
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2650
DR. MICHAEL J ZAPPITELLI JR. D.O.
Family Medicine
410 W LINFIELD TRAPPE RD STE 100
LIMERICK, PA 19468
Montgomery County (610) 495-2300

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 Roger Middleton's NPI number?

The NPI number for Roger Middleton is 1821706698. It was assigned to this individual provider in the NPPES registry on November 10, 2022.

Where is Roger Middleton located?

Roger Middleton practices at 410 W Linfield Trappe Rd Ste 100, Limerick, PA 19468. The listed phone number is (610) 495-2650.

What is Roger Middleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Roger Middleton enrolled in Medicare?

Yes. Roger Middleton 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 Roger Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Middleton reassigns Medicare benefits to 2 organizations: Penn Medicine-Pma (Phoenixville, PA) and Clinical Care Associates Of The University Of Pennsylvania Health (Radnor, PA). 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 Roger Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Roger Middleton affiliated with any hospitals?

According to CMS data, Roger Middleton is affiliated with Hospital Of Univ Of Pennsylvania, Pottstown Hospital, Phoenixville Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Roger Middleton was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.