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JON RODEN M.D.
NPI 1023169612
Hospitalist in Gadsden, AL

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1007 GOODYEAR AVE, GADSDEN, AL 35903(256) 494-4768(256) 494-4793 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jon Roden M.d. NPPES

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

JON RODEN M.D. (NPI 1023169612) is an individual hospitalist provider in Gadsden, Alabama, licensed in Alabama (MD.27589) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boaz, and is a graduate of University Of Alabama School Of Medicine (2005).

NPPES Registry Identity

NPI1023169612
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJON RODENCredential: M.D.
Location Address1007 GOODYEAR AVEGadsden, AL 35903-1195
Mailing Address1007 Goodyear AveGadsden, AL 35903-1195 · (256) 494-4768 · Fax (256) 494-4793
Phone(256) 494-4768
Fax(256) 494-4793
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2005
Enumeration DateJanuary 12, 2007
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1023169612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in AL · MD.27589
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD.27589 (AL)
1007 GOODYEAR AVE, Gadsden, AL 35903
Open in Google Maps ↗

Secondary Practice Location 1

Location 12505 US Highway 431Boaz, AL 35957-5908 · Phone (256) 593-8310

Other Identifiers 1

Medicaid1023169612AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Jon Roden 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.

PECOS PAC ID8426150053
PECOS Enrollment IDI20070228000032
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 Reassignments

3

Medicare enrollment records show Jon Roden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC
1.1 mi
Primary Care
366 EAST MEIGHAN BLVD
Gadsden, AL 35903
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1730587338 (256) 485-0982
Mmc Inpatient Physician Services
8.6 mi
Hospitalist
2505 US HIGHWAY 431
Boaz, AL 35957
  • Reassigned Medicare billing, Alabama enrollment
  • 26 clinicians in this Medicare group
NPI 1669362844 (256) 801-6048
Medcenter Demopolis, LLC
151 mi
Family Medicine
705 HIGHWAY 80 WEST
Demopolis, AL 36732
  • Reassigned Medicare billing, Alabama enrollment
  • 65 clinicians in this Medicare group
NPI 1184913030 (334) 289-0225

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
364 services109 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
90 services89 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
87 services85 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35903 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers32 claims32 services$17.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers32 claims32 services$88.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LABREESKA PONDER LPTA
Physical Therapy Assistant
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 413-6060
SESIL MARIYA VARGHESE MD
Student in an Organized Health Care Education/Training Program
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 494-4000
MR. WENDELL RAY HICKS II RPH
Pharmacist
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 494-4047
CHARLES F MATHEWS P.A.
Physician Assistant (Surgical)
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 456-0226
GADSDEN REGIONAL MEDICAL CENTER LLC
General Acute Care Hospital
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 494-4000
HANNAH BETH COUCH
Dietitian, Registered
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 494-4174
JESSICA HOOKS DUTY
Nurse Anesthetist, Certified Registered
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 494-4132
DR. DAVID A. MORTON M.D.
Psychiatry & Neurology (Psychiatry)
1007 GOODYEAR AVE
GADSDEN, AL 35903
Etowah County (256) 494-4768

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 Jon Roden's NPI number?

The NPI number for Jon Roden is 1023169612. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jon Roden located?

Jon Roden practices at 1007 Goodyear Ave, Gadsden, AL 35903. The listed phone number is (256) 494-4768.

What is Jon Roden's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jon Roden enrolled in Medicare?

Yes. Jon Roden 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 Jon Roden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Roden reassigns Medicare benefits to 3 organizations: American Family Care, LLC (Gadsden, AL), Mmc Inpatient Physician Services (Boaz, AL) and Medcenter Demopolis, LLC (Demopolis, AL). 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 Jon Roden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Roden accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Cigna HealthCare of Florida, Inc. and 2 other insurers list Jon Roden 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 Jon Roden was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.