RODNEY GERRIT DEKLEUVER PHYSICIAN ASSISTANT
NPI 1487118105
Physician Assistant in Santa Rosa, CA

Q: What is Rodney Dekleuver's NPI number?

The NPI number for Rodney Dekleuver is 1487118105. It was assigned to this individual provider in the NPPES registry on January 27, 2019.

Q: What is Rodney Dekleuver's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rodney Dekleuver was last updated on January 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since January 27, 2019PECOS EnrolledAccepts Medicare Assignment

1405 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 522-5411 Get Directions Write a Review

NPPES record last updated: January 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rodney Gerrit Dekleuver Physician Assistant NPPES

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

RODNEY GERRIT DEKLEUVER PHYSICIAN ASSISTANT (NPI 1487118105) is an individual physician assistant in Santa Rosa, California, licensed in California (56437) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487118105

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameRODNEY GERRIT DEKLEUVERCredential: PHYSICIAN ASSISTANT

Location Address1405 MONTGOMERY DRSanta Rosa, CA 95405-4557

Mailing Address1405 Montgomery DrSanta Rosa, CA 95405-4557 · (707) 522-5411

Phone(707) 522-5411

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 27, 2019

✔ NPI 1487118105 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 CA · 56437

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.

1405 MONTGOMERY DR, Santa Rosa, CA 95405

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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

Rodney Gerrit Dekleuver Physician Assistant 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 ID941541304

PECOS Enrollment IDI20190411002087

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 4

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

44 services42 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

38 services36 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

12 services12 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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 16

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

CAROLYN BARTLETT O.T., C.H.T.

Occupational Therapist (Hand)