DR. RANDALL W RODGERS D.O.
NPI 1104852888
Pain Medicine - Interventional Pain Medicine in Tyler, TX

Q: What is Randall Rodgers's NPI number?

The NPI number for Randall Rodgers is 1104852888. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Randall Rodgers's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Q: When was this NPI record last updated?

The NPPES record for Randall Rodgers was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 24, 2006PECOS EnrolledAccepts Medicare Assignment

5.16/100

CMS Quality Rating

13027 STATE HIGHWAY 155 S, TYLER, TX 75703(903) 839-1000(903) 839-4000 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Randall W Rodgers D.o. NPPES

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

DR. RANDALL W RODGERS D.O. (NPI 1104852888) is an individual interventional pain medicine provider in Tyler, Texas, licensed in Texas (G0020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (1981).

NPPES Registry Identity

NPI1104852888

Entity TypeIndividualMale

Primary Taxonomy208VP0014X

Provider Legal NameDR. RANDALL W RODGERSCredential: D.O.

Location Address13027 STATE HIGHWAY 155 STyler, TX 75703-6560

Mailing Address13027 State Highway 155 STyler, TX 75703-6560 · (903) 839-1000 · Fax (903) 839-4000

Phone(903) 839-1000

Fax(903) 839-4000

Sole ProprietorNo

Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1981

Enumeration DateJune 24, 2006

Last NPPES UpdateApril 30, 2026

NPPES CertifiedApril 30, 2026

✔ NPI 1104852888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in TX · G0020

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedFamily MedicineTaxonomy 207Q00000X · License G0020 (TX)

13027 STATE HIGHWAY 155 S, Tyler, TX 75703

Open in Google Maps ↗

Other Identifiers 6

Other8V0490TX · Bcbstx

OtherP00342603TX · Railroad Medicare

Other43848TX · Sterling

Other1104852888TX · Bcbstx

Medicaid1287773-08TX

Other663166TX · Sterling Medicare Advantage

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. Randall W Rodgers D.o. 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 ID840261376

PECOS Enrollment IDI20040806000235

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.

Areas of Expertise CMS Part B claims 14

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.

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.

1,449 services221 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.

702 services201 patients

X-ray lower and sacral spine, 2-3 views bending views 72120

This procedure involves taking X-ray images of your lower and sacral spine in 2-3 different angles while you bend. It helps in assessing spinal flexibility and identifying any abnormalities or injuries. It's safe, quick, and usually painless.

95 services95 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

84 services68 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

69 services69 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

62 services54 patients

X-ray of both hips, 2 views 73521

An X-ray of both hips, 2 views, is an imaging test that uses a small amount of radiation to create detailed pictures of your hip joints. This procedure helps to detect fractures, infections, or other abnormalities in the hip area. Two different angles will be captured for a comprehensive assessment.

37 services37 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

36 services35 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

32 services32 patients

Injection of trigger points, 3 or more muscles 20553

Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.

20 services17 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

19 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

12 services11 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75703 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

5.16/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

17.23

Other Providers at the Same Location NPPES 4

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

CAREFIRST MEDICAL ASSOCIATES AND PAIN REHABILITATION, PA

Family Medicine

13027 STATE HIGHWAY 155 S
TYLER, TX 75703

Smith County (903) 839-1000

ROBERT FENTON FNP-C

Nurse Practitioner

13027 STATE HIGHWAY 155 S
TYLER, TX 75703

Smith County (903) 839-1000

ARIC BARRIOS NP

Nurse Practitioner (Family)

13027 STATE HIGHWAY 155 S
TYLER, TX 75703

Smith County (903) 893-1000

DR. KELVIN KENYORU PHARMD

Pharmacist (Ambulatory Care)

13027 STATE HIGHWAY 155 S
TYLER, TX 75703

Smith County (903) 839-1000

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 Randall Rodgers's NPI number?

The NPI number for Randall Rodgers is 1104852888. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Randall Rodgers located?

Randall Rodgers practices at 13027 State Highway 155 S, Tyler, TX 75703. The listed phone number is (903) 839-1000.

What is Randall Rodgers's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Randall Rodgers enrolled in Medicare?

Yes. Randall Rodgers 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.

What insurance does Randall Rodgers accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Randall Rodgers 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 Randall Rodgers was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.