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GUSTAVO RODRIGUEZ MD
NPI 1295978740
Family Medicine in Erie, CO

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
101 ERIE PKWY, STE 201C, ERIE, CO 80516(303) 415-5816(303) 293-0625 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2023, Mar 9, 2022, Feb 9, 2016 (3 updates tracked since 2016).

About Gustavo Rodriguez Md NPPES

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

GUSTAVO RODRIGUEZ MD (NPI 1295978740) is an individual family medicine provider in Erie, Colorado, licensed in Colorado (DR.0053640) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cedar Park, and is a graduate of University Of Texas Medical Branch At Galveston (2009).

NPPES Registry Identity

NPI1295978740
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGUSTAVO RODRIGUEZCredential: MD
Location Address101 ERIE PKWY, STE 201CErie, CO 80516
Mailing AddressPo Box 9049Boulder, CO 80304-9049 · (303) 415-5816 · Fax (303) 293-0625
Phone(303) 415-5816
Fax(303) 293-0625
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2009
Enumeration DateApril 14, 2009
Last NPPES UpdateSeptember 4, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1295978740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CO · DR.0053640✔ Licensed in TX · Q0552
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.
101 ERIE PKWY, STE 201C, Erie, CO 80516
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Secondary Practice Location 1

Location 11401 Medical Parkway, Bldg C, Suite 150Cedar Park, TX 78613 · Phone (512) 901-4038 · Fax (512) 485-0086

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Gustavo Rodriguez 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 ID446472146
PECOS Enrollment IDI20141113000953
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 Reassignment

Medicare enrollment records show Gustavo Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Intermountain Medical Group Denver, LLC
5.2 mi
Neurological Surgery
340 EXEMPLA CIR STE 300
Lafayette, CO 80026
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 clinicians in this Medicare group
NPI 1003514639 (303) 673-1390

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 7

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.
142 services79 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.
137 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80516 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers12 claims28 services$5.67 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 2

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

GARY L GRASMICK M.D.
Family Medicine
101 ERIE PKWY, STE 201C
ERIE, CO 80516
Weld County (303) 415-5816
ELIZABETH J LOCRICCHIO FNP-C
Nurse Practitioner (Family)
101 ERIE PKWY, STE 201C
ERIE, CO 80516
Weld County (303) 415-5816

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 Gustavo Rodriguez's NPI number?

The NPI number for Gustavo Rodriguez is 1295978740. It was assigned to this individual provider in the NPPES registry on April 14, 2009.

Where is Gustavo Rodriguez located?

Gustavo Rodriguez practices at 101 Erie Pkwy, Ste 201C, Erie, CO 80516. The listed phone number is (303) 415-5816.

What is Gustavo Rodriguez's specialty?

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

Is Gustavo Rodriguez enrolled in Medicare?

Yes. Gustavo Rodriguez 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 organization bills Medicare for Gustavo Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Rodriguez reassigns Medicare benefits to Intermountain Medical Group Denver, LLC (Lafayette, CO). The 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 Gustavo Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gustavo Rodriguez accept?

Health plans from Select Health list Gustavo 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 Gustavo Rodriguez was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.