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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JOHNNY R RODRIGUEZ D.O.
NPI 1457390056
Surgery in Poteau, OK

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
65.74/100
CMS Quality Rating
105 WALL ST, POTEAU, OK 74953(918) 635-3100(918) 635-3398 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Johnny R Rodriguez D.o. NPPES

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

DR. JOHNNY R RODRIGUEZ D.O. (NPI 1457390056) is an individual surgery provider in Poteau, Oklahoma, licensed in Oklahoma (3524) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Choctaw Nation Health Services Authority, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1457390056
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHNNY R RODRIGUEZCredential: D.O.
Location Address105 WALL STPoteau, OK 74953-4433
Mailing AddressPo Box 1177Poteau, OK 74953-1177 · (918) 635-3100 · Fax (918) 635-3398
Phone(918) 635-3100
Fax(918) 635-3398
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 1989
Enumeration DateJune 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1457390056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 3524
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.
105 WALL ST, Poteau, OK 74953
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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. Johnny R Rodriguez 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 ID244290864
PECOS Enrollment IDI20080130000677
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 5

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 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.
68 services65 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
46 services44 patients
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.
33 services33 patients
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.
26 services18 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74953 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

65.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.52
Improvement Activities40
Cost42.43

Other Providers at the Same Location NPPES 16

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

DR. CAITLYN ELIZABETH BOWMAN DO
Family Medicine
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3100
HOSPITAL CARE CONSULTANTS OF POTEAU LLC
Hospitalist
105 WALL ST
POTEAU, OK 74953
Le Flore County (866) 931-8882
BETH HITES DO
Family Medicine
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3591
LEFLORE COUNTY HOSPITAL AUTHORITY
Psychiatric Unit
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 647-8161
CYNTHIA RENEE LEATHERWOOD APRN, FNP-BC
Nurse Practitioner (Family)
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 647-8161
DAVID KENT HOEGH
Physical Therapist
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 647-8161
JEFFREY M SPEAR M.D.
Emergency Medicine
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3400
LEFLORE COUNTY HOSPITAL AUTHORITY
Nurse Practitioner (Acute Care)
105 WALL ST
POTEAU, OK 74953
Le Flore County (918) 635-3100

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 Johnny Rodriguez's NPI number?

The NPI number for Johnny Rodriguez is 1457390056. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Johnny Rodriguez located?

Johnny Rodriguez practices at 105 Wall St, Poteau, OK 74953. The listed phone number is (918) 635-3100.

What is Johnny Rodriguez's specialty?

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

Is Johnny Rodriguez enrolled in Medicare?

Yes. Johnny 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 Johnny Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Johnny 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 Johnny Rodriguez affiliated with any hospitals?

According to CMS data, Johnny Rodriguez is affiliated with Choctaw Nation Health Services Authority.

When was this NPI record last updated?

The NPPES record for Johnny Rodriguez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.