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JEFFERSON LEE RODIECK PA-C
NPI 1518169903
Physician Assistant in San Antonio, TX

Active since June 05, 2007PECOS Enrolled
89.72/100
CMS Quality Rating
408 NAVARRO ST, SAN ANTONIO, TX 78205(210) 272-1741(210) 272-1747 Get Directions Write a Review

NPPES record last updated: January 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Lee Rodieck Pa-c NPPES

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

JEFFERSON LEE RODIECK PA-C (NPI 1518169903) is an individual physician assistant in San Antonio, Texas and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518169903
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFERSON LEE RODIECKCredential: PA-C
Location Address408 NAVARRO STSan Antonio, TX 78205-2502
Mailing Address1045 Central Parkway North, Suite #200San Antonio, TX 78232-5024 · (210) 541-4500 · Fax (210) 541-4508
Phone(210) 272-1741
Fax(210) 272-1747
Sole ProprietorNo
Enumeration DateJune 5, 2007
Last NPPES UpdateJanuary 22, 2014
✔ NPI 1518169903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
408 NAVARRO ST, San Antonio, TX 78205
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Other Identifiers 1

Medicare PINTXB135689TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Lee Rodieck Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78205 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.

89.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.64
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

BLAINE PHILLIP CARMICHAEL PA-C
Physician Assistant
408 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741
DR. SCOTT SHAW MCNEILL MD
Family Medicine
408 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741
MONICA RENEE HILL M.D.
Family Medicine
408 NAVARRO ST
SAN ANTONIO, TX 78205
Bexar County (210) 272-1741

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 Jefferson Rodieck's NPI number?

The NPI number for Jefferson Rodieck is 1518169903. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Jefferson Rodieck located?

Jefferson Rodieck practices at 408 Navarro St, San Antonio, TX 78205. The listed phone number is (210) 272-1741.

What is Jefferson Rodieck's specialty?

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

Is Jefferson Rodieck enrolled in Medicare?

Yes. Jefferson Rodieck is registered in the Medicare PECOS enrollment system.

What insurance does Jefferson Rodieck accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Jefferson Rodieck 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.

When was this NPI record last updated?

The NPPES record for Jefferson Rodieck was last updated on January 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.