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MR. LUIS MAURICIO RODRIGUEZ D.D.S, P.A.
NPI 1043659972
Dentist - General Practice in Webster, TX

Active since June 25, 2013Opted out of Medicare · through Feb 5, 2028
11 PROFESSIONAL PARK DRIVE, WEBSTER, TX 77598(281) 317-6401(281) 488-2888 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Luis Mauricio Rodriguez D.d.s, P.a. NPPES

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

MR. LUIS MAURICIO RODRIGUEZ D.D.S, P.A. (NPI 1043659972) is an individual general practice provider in Webster, Texas, licensed in Texas (29164) and active in the NPI registry since June 2013. He has opted out of Medicare through February 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043659972
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. LUIS MAURICIO RODRIGUEZCredential: D.D.S, P.A.
Location Address11 PROFESSIONAL PARK DRIVEWebster, TX 77598
Mailing Address11 Professional Park DriveWebster, TX 77598 · (281) 317-6401 · Fax (281) 488-2888
Phone(281) 317-6401
Fax(281) 488-2888
Sole ProprietorYes
Enumeration DateJune 25, 2013
Last NPPES UpdateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
✔ NPI 1043659972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 29164
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 29164 (TX)
11 PROFESSIONAL PARK DRIVE, Webster, TX 77598
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Luis Mauricio Rodriguez D.d.s, P.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 5, 2016 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2016
Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77598 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Luis Rodriguez's NPI number?

The NPI number for Luis Rodriguez is 1043659972. It was assigned to this individual provider in the NPPES registry on June 25, 2013.

Where is Luis Rodriguez located?

Luis Rodriguez practices at 11 Professional Park Drive, Webster, TX 77598. The listed phone number is (281) 317-6401.

What is Luis Rodriguez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Luis Rodriguez enrolled in Medicare?

No. Luis Rodriguez has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Luis Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Solstice Benefits and UnitedHealthcare list Luis Rodriguez 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 Luis Rodriguez was last updated on December 9, 2021. 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.