2026 NPPES data Intermediate Emergency Medical Technician NPI 1568829984 PA-C
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ZSACHLAYNE ROGUSKA, PA-C

Intermediate Emergency Medical Technician in COOKEVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
53
Medicare Part D claims · 48 beneficiaries · Intermediate Emergency Medical Technician avg: 321
Industry payments
$31.91
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ZSACHLAYNE ROGUSKA, PA-C is a Intermediate Emergency Medical Technician ([object Object]) practicing in COOKEVILLE, Tennessee with a Medicare Part D prescribing footprint of 53 claims across 48 beneficiaries . Industry payments of $31.91 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

ZSACHLAYNE ROGUSKA, PA-C filed 53 Medicare Part D claims in 2023 as a Intermediate Emergency Medical Technician in COOKEVILLE, Tennessee.

53
Part D claims, 2023
$31.91
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ZSACHLAYNE ROGUSKA, PA-C at a glance

Quality data not reported

NPI registry status

Active

Issued 01/15/2016

NPI 1568829984

Primary specialty

Intermediate Emergency Medical Technician

Rare

265 US NPIs in this specialty

Medicare Part D claims

53 83% vs specialty avg

2023 prescription claims

Specialty avg: 321

Specialty distribution in Tennessee

How Intermediate Emergency Medical Technician compares to other specialties among Tennessee providers

Tennessee providers

Intermediate Emergency Medical Technician share within Tennessee

1. Intermediate Emergency Medical Technician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Intermediate Emergency Medical Technician share within Tennessee

Specialty board-certification context

Estimated specialty board-certified rate — Intermediate Emergency Medical Technician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Intermediate Emergency Medical Technician ABMS/AOA estimate

Est. board-certified rate (Intermediate Emergency Medical Technician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Intermediate Emergency Medical Technician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ZSACHLAYNE ROGUSKA, PA-C is a Intermediate Emergency Medical Technician provider practicing in COOKEVILLE, Tennessee, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1568829984. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ZSACHLAYNE ROGUSKA, PA-C appears in the CMS NPPES registry as a Intermediate Emergency Medical Technician provider holding PA-C credentials at 105 S WILLOW AVE, COOKEVILLE, TN, 38501, with a listed phone of (931) 526-9518. NPI 1568829984 was issued on 01/15/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROGUSKA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 53 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $252 in drug spend, with an opioid prescribing rate of 45.3%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Intermediate Emergency Medical Technician is a narrow specialty nationwide, with 265 enrolled providers across 42 states and an average of 321 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

105 S WILLOW AVE
COOKEVILLE, TN 38501

Provider Details

NPI 1568829984
Specialty Intermediate Emergency Medical Technician
Credentials PA-C
Gender Female
NPI Issued 01/15/2016

Hospital and facility affiliations

Facilities where ZSACHLAYNE ROGUSKA, PA-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CAMPBELL CLINIC, PC
COOKEVILLE, TN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ZSACHLAYNE ROGUSKA, PA-C. Source: openpaymentsdata.cms.gov.

Total received

$32

Largest payer

Smith+Nephew, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

53
Total Claims
$252
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
55
Total Day Supply
626
Generic Drug Cost
$246
Opioid Claims
24 (45.3% rate)

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.07
Gender Split
63% female / 38% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tramadol Hcl
21
Meloxicam
14
Methylprednisolone
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Intermediate Emergency Medical Technician Overview

How ZSACHLAYNE ROGUSKA, PA-C fits within the Intermediate Emergency Medical Technician landscape nationally.

265
Intermediate Emergency Medical Technician Providers in US
42
States with Intermediate Emergency Medical Technician
321
Avg Claims per Provider

ZSACHLAYNE ROGUSKA, PA-C's 53 claims are below the specialty average of 321.

Nearby Intermediate Emergency Medical Technician Providers in Tennessee

Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as ROGUSKA.

Compare Intermediate Emergency Medical Technician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ZSACHLAYNE ROGUSKA, PA-C's specialty?
ZSACHLAYNE ROGUSKA, PA-C specializes in Intermediate Emergency Medical Technician and practices in COOKEVILLE, Tennessee. Credentials: PA-C.
How much does ZSACHLAYNE ROGUSKA, PA-C prescribe under Medicare Part D?
In 2023, ZSACHLAYNE ROGUSKA, PA-C wrote 53 Medicare Part D claims totaling $252 in drug costs for 48 beneficiaries.
Where is ZSACHLAYNE ROGUSKA, PA-C located?
ZSACHLAYNE ROGUSKA, PA-C is located at 105 S WILLOW AVE, COOKEVILLE, TN, 38501. Phone: (931) 526-9518.
What is ZSACHLAYNE ROGUSKA, PA-C's NPI number?
ZSACHLAYNE ROGUSKA, PA-C's National Provider Identifier (NPI) is 1568829984, issued on 01/15/2016.
Does ZSACHLAYNE ROGUSKA, PA-C prescribe opioids?
Yes, ZSACHLAYNE ROGUSKA, PA-C had 24 opioid claims in 2023 with an opioid prescribing rate of 45.3%.
How many Intermediate Emergency Medical Technician providers are there in the US?
There are 265 Intermediate Emergency Medical Technician providers across 42 states in the US. The average Intermediate Emergency Medical Technician provider writes 321 Medicare Part D claims per year.
What drugs does ZSACHLAYNE ROGUSKA, PA-C prescribe most often?
Based on 2023 Medicare Part D data, ZSACHLAYNE ROGUSKA, PA-C's most frequently prescribed drugs include Tramadol Hcl, Meloxicam, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZSACHLAYNE ROGUSKA, PA-C accept Medicare?
ZSACHLAYNE ROGUSKA, PA-C appears in CMS Medicare data with 53 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZSACHLAYNE ROGUSKA, PA-C's credentials?
ZSACHLAYNE ROGUSKA, PA-C's NPI is 1568829984 with credentials PA-C. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology