Active NPI 1306892559 Individual Practitioner Male Practitioner

Dr. Roderick J. Tompkins , MD

Surgery • Ashland, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roderick Tompkins, MD is a certified Surgery practicing in Ashland, KY. With approximately 34 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1992, Dr. Tompkins delivers high-quality medical care to the local community at 613 23RD ST.

Dr. Tompkins is affiliated with Kings Daughters Medical Specialties Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

613 23rd St
Suite 440

Ashland, KY 411012878

Telephone 6063292888

Fax 6063292890

Associated Practice Facility / Clinic

🏢 Cumberland Cardiology Psc Facility NPI 1053301788

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Ashland, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +11.6 yrs vs City Avg

City Avg: 22.4 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Ashland, KY (495 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Tompkins (34 Years) 34 Yrs

Ashland Specialty Average (22.4 Years) 22.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$260.50	$124.57
99213 Established patient office or other outpatient visit, typically 15 minutes	64	53	$81.75	$61.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	43	$142.22	$90.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	29	$190.00	$73.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$313.00	$122.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$126.00	$76.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$417.00	$161.35
47562 Removal of gallbladder using an endoscope	17	17	$2112.94	$616.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	14	$119.00	$46.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	11	$286.00	$110.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$250.60	$126.38
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$82.92	$62.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	55	$144.10	$92.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	39	$154.63	$72.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$284.50	$123.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$129.73	$78.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	25	$401.23	$164.87
47562 Removal of gallbladder using an endoscope	24	24	$2118.67	$617.93
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	16	$94.79	$47.26
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$461.00	$120.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	12	$246.14	$113.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$41.17	$33.69
49507 Repair of trapped groin hernia patient age 5 years or older	11	11	$2002.45	$554.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$244.57	$129.97
99213 Established patient office or other outpatient visit, typically 15 minutes	65	53	$94.00	$64.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$146.00	$94.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	27	$134.00	$68.02
47562 Removal of gallbladder using an endoscope	34	34	$1906.71	$616.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	31	$376.00	$188.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$256.00	$129.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$489.00	$119.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$142.00	$80.25
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$73.00	$37.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	87	87	$245.99	$131.85
99213 Established patient office or other outpatient visit, typically 15 minutes	87	71	$95.20	$65.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	60	$146.00	$96.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	24	$134.00	$69.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$148.30	$80.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$256.00	$130.64
47562 Removal of gallbladder using an endoscope	24	24	$1943.71	$643.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	20	$376.00	$192.49
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$489.00	$117.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$73.00	$36.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$54.83	$34.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	84	$95.91	$50.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$246.38	$126.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	75	37	$134.00	$70.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	68	$149.04	$77.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$142.00	$74.25
47562 Removal of gallbladder using an endoscope	41	41	$1945.24	$631.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	38	$376.00	$198.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	38	$256.00	$134.48
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	18	$26.00	$12.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	17	$489.00	$127.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	16	$73.00	$38.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$47.00	$25.25
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	13	13	$17.00	$5.47
49507 Repair of trapped groin hernia patient age 5 years or older	13	13	$1641.00	$578.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	165	124	$95.26	$49.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$244.25	$124.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	84	$150.47	$76.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	46	$134.00	$70.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$146.73	$73.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	64	$256.00	$132.76
47562 Removal of gallbladder using an endoscope	54	54	$1939.37	$620.67
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	47	45	$489.00	$119.32
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	42	41	$17.00	$5.44
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	41	38	$26.00	$11.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$376.00	$196.15
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	18	18	$3654.06	$898.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$73.00	$38.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$205.00	$107.74
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$618.00	$162.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	184	147	$94.57	$49.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	141	141	$246.69	$124.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	84	$146.00	$75.45
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	66	$489.00	$121.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$142.00	$73.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	24	$134.00	$69.91
47562 Removal of gallbladder using an endoscope	42	42	$1918.60	$616.03
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	38	28	$26.00	$11.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$256.00	$131.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$376.00	$194.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$47.00	$24.45
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	14	14	$3604.00	$890.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	83	$193.47	$67.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$366.36	$150.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	56	$260.75	$100.17
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$96.00	$48.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	50	50	$495.32	$104.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$245.65	$121.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$239.67	$100.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	33	$133.83	$68.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	40	$255.75	$130.64
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	33	29	$26.00	$13.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$149.68	$75.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$142.00	$72.13
47562 Removal of gallbladder using an endoscope	27	27	$1844.00	$616.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$134.20	$40.23
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	13	$26.00	$11.78
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$3604.00	$903.40
92511 Exam of the nose and throat using an endoscope	13	13	$137.00	$35.98
44180 Release of small bowel scar tissue using an endoscope	11	11	$2686.36	$882.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$376.00	$193.45

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KY 32875

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64328750 (KY)

Medicaid State Provider ID

2026757 (OH)

Medicaid State Provider ID

3810005113 (WV)

Hospital & Practice Group Affiliations

Kings Daughters Medical Specialties Inc

613 23rd St, Ashland, KY 411012885

Phone: 6063251151

Kings Daughters Medical Specialties Inc

1729 Kinneys Ln, Portsmouth, OH 456623167

Phone: 7403542942

Secondary Practice Locations

609 N Carol Malone Blvd Ste 105

Grayson, KY 411431123

Phone: 6064088500

391 W Tom T Hall Blvd

Olive Hill, KY 411647688

Phone: 6062868039

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Darren Barker , APRN

Nurse Practitioner - Family

NPI 1033755145

Advanced Practice Registered Nurse

Leslie Fannin

Nurse Practitioner - Family

NPI 1356215396

Dr. Eric Smith , DO

Surgery

NPI 1548216245

Doctor of Osteopathic Medicine (D.O.)

Dr. Timothy Wheeler , MD

Surgery

NPI 1609822816

Doctor of Medicine (M.D.)

Matthew Maze , APRN

Nurse Practitioner - Family

NPI 1679848543

Advanced Practice Registered Nurse

Robert Logan , PA-C

Physician Assistant

NPI 1699105304

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address May 22, 2019

Registered at PO BOX 2379, ASHLAND, KY 411052379 (Tel: 6064086200)

✅

NPI Profile Active September 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 03, 2015

Registered at 613 23RD ST, SUITE 440, ASHLAND, KY 411012878 (Tel: 6063292888)

📍

Updated Business Mailing Address September 03, 2015

Registered at PO BOX 1353, ASHLAND, KY 411051353 (Tel: 6063292888)

👤

Provider Name / Credentials Updated September 03, 2015

Recorded as RODERICK TOMPKINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2015

Surgery (License #32875 in KY)

🟢

Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306892559

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 26, 2006

Last Update: May 22, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2379

Ashland, KY 411052379

Phone: 6064086200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.