1. Home
  2. Directory
  3. Texas
  4. Mcallen
  5. Surgery
  6. NPI Profile

MIGUEL ANGEL RODRIGUEZ DO
NPI 1306340963
Surgery in Mcallen, TX

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
89.89/100
CMS Quality Rating
1801 S 5TH ST STE 120, MCALLEN, TX 78503(956) 631-0393 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Mar 20, 2018 (2 updates tracked since 2018).

About Miguel Angel Rodriguez Do NPPES

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

MIGUEL ANGEL RODRIGUEZ DO (NPI 1306340963) is an individual surgery provider in Mcallen, Texas, licensed in Texas (U9345) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306340963
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMIGUEL ANGEL RODRIGUEZCredential: DO
Location Address1801 S 5TH ST STE 120Mcallen, TX 78503-2919
Mailing Address1801 S 5th St Ste 120Mcallen, TX 78503-2919 · (956) 631-0393
Phone(956) 631-0393
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1306340963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · U9345
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.
1801 S 5TH ST STE 120, Mcallen, TX 78503
Open in Google Maps ↗

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

Miguel Angel Rodriguez Do 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 ID4880942192
PECOS Enrollment IDI20240726000945
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 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services34 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.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

CHRISTINE TIFFANY VU
Internal Medicine
1801 S 5TH ST STE 120
MCALLEN, TX 78503
Hidalgo County (956) 388-2124

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 Miguel Rodriguez's NPI number?

The NPI number for Miguel Rodriguez is 1306340963. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Miguel Rodriguez located?

Miguel Rodriguez practices at 1801 S 5th St Ste 120, Mcallen, TX 78503. The listed phone number is (956) 631-0393.

What is Miguel Rodriguez's specialty?

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

Is Miguel Rodriguez enrolled in Medicare?

Yes. Miguel 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.

What insurance does Miguel Rodriguez 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 3 other insurers list Miguel 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.

Is Miguel Rodriguez affiliated with any hospitals?

According to CMS data, Miguel Rodriguez is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Miguel Rodriguez was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.