MYRON RODDENBERRY PA
NPI 1346245040
Physician Assistant in Greensboro, NC

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
301 E WENDOVER AVE STE 411, GREENSBORO, NC 27401(336) 832-3200 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 25, 2021, Nov 18, 2019, Nov 4, 2019 and 26 more (29 updates tracked since 2017).

About Myron Roddenberry Pa NPPES

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

MYRON RODDENBERRY PA (NPI 1346245040) is an individual physician assistant in Greensboro, North Carolina, licensed in North Carolina (101195) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1346245040
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMYRON RODDENBERRYCredential: PA
Location Address301 E WENDOVER AVE STE 411Greensboro, NC 27401-1211
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1989
Enumeration DateJune 17, 2005
Last NPPES UpdateAugust 25, 202129 updates tracked since enumeration
NPPES CertifiedAugust 25, 2021
NPI 1346245040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 101195
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
301 E WENDOVER AVE STE 411, Greensboro, NC 27401

Secondary Practice Locations 4

Location 1200 Medical Park Dr, Suite 230Concord, NC 28025-2982 · Phone (704) 403-1349
Location 210650 Park Rd, Suite 220Charlotte, NC 28210-8538 · Phone (704) 667-3840
Location 31001 Blythe Blvd, STE 300 - Adult CardiologyCharlotte, NC 28203-5866 · Phone (704) 373-0212
Location 41350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1242

Accepted 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

Myron Roddenberry Pa 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 ID2860396918
PECOS Enrollment IDI20031121000023
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.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

Physician Assistant (Surgical)
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Physician Assistant
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Nurse Practitioner
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401

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 Myron Roddenberry's NPI number?

The NPI number for Myron Roddenberry is 1346245040. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Myron Roddenberry located?

Myron Roddenberry practices at 301 E Wendover Ave Ste 411, Greensboro, NC 27401. The listed phone number is (336) 832-3200.

What is Myron Roddenberry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Myron Roddenberry enrolled in Medicare?

Yes. Myron Roddenberry 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 Myron Roddenberry accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Myron Roddenberry 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 Myron Roddenberry affiliated with any hospitals?

According to CMS data, Myron Roddenberry is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Myron Roddenberry was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.