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

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: July 19, 2026.

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
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

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 6

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 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.
43 services43 patients
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.
35 services35 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
24 services24 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
16 services16 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
16 services13 patients
Knee replacement NAN06
A knee replacement is a surgical procedure where a damaged or diseased knee joint is replaced with an artificial one. This can relieve pain and improve mobility. The procedure involves removing damaged parts of the knee and inserting a prosthetic joint. Recovery may take several weeks.
0 services1 patient

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 18

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

Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Occupational Therapist (Hand)
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Physician Assistant
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Physical Therapist
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Physical Therapist
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery (Hand Surgery)
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery (Hand Surgery)
1405 MONTGOMERY DR
SANTA ROSA, CA 95405
Orthopaedic Surgery
1405 MONTGOMERY DR
SANTA ROSA, CA 95405

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 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.

Where is Rodney Dekleuver located?

Rodney Dekleuver practices at 1405 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 522-5411.

What is Rodney Dekleuver's specialty?

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

Is Rodney Dekleuver enrolled in Medicare?

Yes. Rodney Dekleuver 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.

When was this NPI record last updated?

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