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BARTLOMIEJ ROG MD, MPH
NPI 1851719264
Family Medicine in Clackamas, OR

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(800) 813-2000 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2025, Apr 1, 2019 (2 updates tracked since 2019).

About Bartlomiej Rog Md, Mph NPPES

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

BARTLOMIEJ ROG MD, MPH (NPI 1851719264) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD195395) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1851719264
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBARTLOMIEJ ROGCredential: MD, MPH
Location Address9800 SE SUNNYSIDE RDClackamas, OR 97015-9750
Mailing Address500 Ne Multnomah St Ste 100Portland, OR 97232-2031
Phone(800) 813-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1851719264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OR · MD195395✔ Licensed in OH · 35.129600
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.
9800 SE SUNNYSIDE RD, Clackamas, OR 97015
Open in Google Maps ↗

Secondary Practice Location 1

Location 13569 Ridge RdCleveland, OH 44102-5443 · Phone (216) 281-0872

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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

Bartlomiej Rog Md, Mph 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 ID1355683061
PECOS Enrollment IDI20200131002698
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 Bartlomiej Rog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Northwest
0.1 mi
Sleep Disorder Diagnostic
9717 SE SUNNYSIDE RD, 3RD FLOOR
Clackamas, OR 97015
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1174851505 (503) 659-2454

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 20

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

ASHLEY R JORDAN
Nurse Practitioner (Family)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
MICHAEL HOLLENBACK P.A.-C.
Physician Assistant (Surgical)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
DR. CALVERT JOHN SHIPLEY M.D.
Family Medicine
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 653-6440
JAY JOO M.D.
Pediatrics
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-2000
TRISHA ZANDER
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 813-1319
NATASHA WARIKOO PHD
Student in an Organized Health Care Education/Training Program
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (800) 813-2000
THANH VAN HOANG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879
HANNAH LARSEN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015
Clackamas County (503) 571-8879

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 Bartlomiej Rog's NPI number?

The NPI number for Bartlomiej Rog is 1851719264. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Bartlomiej Rog located?

Bartlomiej Rog practices at 9800 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.

What is Bartlomiej Rog's specialty?

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

Is Bartlomiej Rog enrolled in Medicare?

Yes. Bartlomiej Rog 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 Bartlomiej Rog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bartlomiej Rog reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Bartlomiej Rog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bartlomiej Rog accept?

Health plans from Kaiser Permanente list Bartlomiej Rog 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 Bartlomiej Rog was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.