WYATT RODAN MD
NPI 1053765263
Surgery in Pittsburgh, PA

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224(412) 359-4373 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Jun 20, 2024 (2 updates tracked since 2024).

About Wyatt Rodan Md NPPES

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

WYATT RODAN MD (NPI 1053765263) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD484015) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2019).

NPPES Registry Identity

NPI1053765263
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWYATT RODANCredential: MD
Location Address4815 LIBERTY AVE STE 439Pittsburgh, PA 15224-2156
Mailing Address4815 Liberty Ave Ste 439Pittsburgh, PA 15224-2156 · (412) 359-4373
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2019
Enumeration DateApril 14, 2016
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
NPI 1053765263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD484015
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4815 LIBERTY AVE STE 439, Pittsburgh, PA 15224

Other Identifiers 1

Other16212653Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Wyatt Rodan Md 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 ID2466781018
PECOS Enrollment IDI20251007001944
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Roseburg, OR
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number380027
Location2700 NW Stewart ParkwayRoseburg, OR 97471 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15224 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

Physician Assistant
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Speech-Language Pathologist
4815 LIBERTY AVE STE 439, SUITE 211
PITTSBURGH, PA 15224
Nurse Practitioner (Family)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Physician Assistant (Surgical)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224
Psychiatry & Neurology (Neurology)
4815 LIBERTY AVE STE 439
PITTSBURGH, PA 15224

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 Wyatt Rodan's NPI number?

The NPI number for Wyatt Rodan is 1053765263. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Wyatt Rodan located?

Wyatt Rodan practices at 4815 Liberty Ave Ste 439, Pittsburgh, PA 15224. The listed phone number is (412) 359-4373.

What is Wyatt Rodan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Wyatt Rodan enrolled in Medicare?

Yes. Wyatt Rodan 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.

Is Wyatt Rodan affiliated with any hospitals?

According to CMS data, Wyatt Rodan is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Wyatt Rodan was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.