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DR. PERRY CLYDE ROTHROCK III M.D.
NPI 1023093655
Family Medicine in Cordova, TN

Active since December 06, 2005PECOS EnrolledCLIA 44D0670366 · Waiver
8309 CORDOVA RD, CORDOVA, TN 38016(901) 757-9984(901) 757-0536 Get Directions Write a Review

NPPES record last updated: April 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Perry Clyde Rothrock Iii M.d. NPPES

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

DR. PERRY CLYDE ROTHROCK III M.D. (NPI 1023093655) is an individual family medicine provider in Cordova, Tennessee, licensed in Tennessee (37500) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 2, 2028, and is a graduate of University Of Arkansas College Of Medicine (1990).

NPPES Registry Identity

NPI1023093655
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PERRY CLYDE ROTHROCK IIICredential: M.D.
Location Address8309 CORDOVA RDCordova, TN 38016-2046
Mailing Address8309 Cordova RdCordova, TN 38016-2046 · (901) 757-9984 · Fax (901) 757-0536
Phone(901) 757-9984
Fax(901) 757-0536
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1990
Enumeration DateDecember 6, 2005
Last NPPES UpdateApril 6, 2015
✔ NPI 1023093655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TN · 37500✔ Licensed in AR · C 7965
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.
8309 CORDOVA RD, Cordova, TN 38016
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Other Identifiers 2

Medicare UPING 02590TN
Medicare PIN3729650TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Perry Clyde Rothrock Iii M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082697651
PECOS Enrollment IDI20040612000685
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0670366

Perry C Rothrock III MD PLLC · Cordova, TN
Active · expires Feb 2, 2028
CLIA Number44D0670366
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorDr. Perry C. Rothrock III
Laboratory Phone(901) 757-9984
Laboratory LocationPerry C Rothrock III MD PLLC8309 Cordova Rd, Cordova, TN 38016
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

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.

Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
557 services34 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.
451 services75 patients
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.
337 services79 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
210 services30 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
121 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.
50 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38016 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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

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

PERRY C. ROTHROCK III, M.D. PLLC
Family Medicine
8309 CORDOVA RD
CORDOVA, TN 38016
Shelby County (901) 757-9984

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 Perry Rothrock's NPI number?

The NPI number for Perry Rothrock is 1023093655. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Perry Rothrock located?

Perry Rothrock practices at 8309 Cordova Rd, Cordova, TN 38016. The listed phone number is (901) 757-9984.

What is Perry Rothrock's specialty?

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

Is Perry Rothrock enrolled in Medicare?

Yes. Perry Rothrock is registered in the Medicare PECOS enrollment system.

Does Perry Rothrock hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0670366) is associated with this NPI, valid through February 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Perry Rothrock accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Health Plan, Inc. and Oscar Insurance Company list Perry Rothrock 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 Perry Rothrock was last updated on April 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.