RODERICK RALPH BYRON M.D.
NPI 1003849092
Surgery in Faribault, MN
About Roderick Ralph Byron M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RODERICK RALPH BYRON M.D. (NPI 1003849092) is an individual surgery provider in Faribault, Minnesota, licensed in Minnesota (27308) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sanford Worthington Medical Center, and is a graduate of Un Of California, Irvine, College Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted 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
Roderick Ralph Byron M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Roderick Byron reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mountain Lake, MN 56159
- Reassigned Medicare billing, Minnesota and South Dakota enrollments
- Also billed through NPI 1003851171 (Minnesota), NPI 1780781054 (South Dakota)
- 279 clinicians in this Medicare group
Sioux Falls, SD 57105
- Reassigned Medicare billing, Minnesota enrollment
- 57 clinicians in this Medicare group
Wheaton, MN 56296
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1043218753 (Minnesota)
- 219 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Worthington Medical Center
Acute Care Hospitals · Worthington, MNSanford Tracy Medical Center
Critical Access Hospitals · Tracy, MNMurray County Memorial Hospital
Critical Access Hospitals · Slayton, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Roderick Byron's NPI number?
The NPI number for Roderick Byron is 1003849092. It was assigned to this individual provider in the NPPES registry on July 10, 2006.
Where is Roderick Byron located?
Roderick Byron practices at 924 1st St NE, Faribault, MN 55021. The listed phone number is (507) 333-3300.
What is Roderick Byron's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Roderick Byron enrolled in Medicare?
Yes. Roderick Byron 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 Roderick Byron's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Roderick Byron reassigns Medicare benefits to 3 organizations: Sanford Health Network (Mountain Lake, MN), Sanford Medical Center (Sioux Falls, SD) and Sanford Health Network North (Wheaton, MN). 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 Roderick Byron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Roderick Byron accept?
Health plans from Sanford Health Plan, Security Health Plan and Wellmark Health Plan of Iowa, Inc. list Roderick Byron 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 Roderick Byron affiliated with any hospitals?
According to CMS data, Roderick Byron is affiliated with Sanford Worthington Medical Center, Sanford Tracy Medical Center and Murray County Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Roderick Byron was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Roderick Ralph Byron, M.D. · NPI 1003849092
Surgery physician in Faribault, Minnesota. Individual provider, active in the CMS NPPES registry since July 10, 2006.
## Identity
- **NPI:** 1003849092 (Entity type: Individual)
- **Enumerated:** July 10, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 27308 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 924 1ST ST NE, Faribault, MN 55021-5441
- **Phone:** (507) 333-3300 · **Fax:** (507) 333-3214
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Sanford Health Network (NPI 1568469039, Mountain Lake, MN); Sanford Medical Center (NPI 1093090342, Sioux Falls, SD); Sanford Health Network North (NPI 1245524669, Wheaton, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Irvine, College Of Medicine, class of 1978
## Record status
- **NPPES last updated:** March 23, 2022
- **Other identifiers:** Medicaid 088448100 (MN); Other 020045514
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Source: [NPI Profile](https://npiprofile.com/npi/1003849092) · Data from the CMS NPPES public registry.