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EDWIN J RODRIGUEZ M.D.
NPI 1538162003
Family Medicine in Billings, MT

Active since May 27, 2005PECOS Enrolled
4643 S WOODHAVEN WAY, BILLINGS, MT 59106(605) 920-1965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edwin J Rodriguez M.d. NPPES

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

EDWIN J RODRIGUEZ M.D. (NPI 1538162003) is an individual family medicine provider in Billings, Montana, licensed in South Dakota (5369) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538162003
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDWIN J RODRIGUEZCredential: M.D.
Location Address4643 S WOODHAVEN WAYBillings, MT 59106-2493
Mailing Address4643 S Woodhaven WayBillings, MT 59106-2493 · (605) 920-1965
Phone(605) 920-1965
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538162003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in SD · 5369
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4643 S WOODHAVEN WAY, Billings, MT 59106
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Other Identifiers 3

Medicare ID-Type Unspecified42002SD
Medicare UPINI06728
Medicaid5603970SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and more.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)

Edwin J Rodriguez M.d. 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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
287 services276 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59106 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
$87.97 typical visit price
range $56.81 – $172.26
Typical copayment $21.99 (range $14.20 – $43.06)
Most-billed visit code 99203
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
Most-billed visit code 99214
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%395 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Edwin Rodriguez's NPI number?

The NPI number for Edwin Rodriguez is 1538162003. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Edwin Rodriguez located?

Edwin Rodriguez practices at 4643 S Woodhaven Way, Billings, MT 59106. The listed phone number is (605) 920-1965.

What is Edwin Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Edwin Rodriguez enrolled in Medicare?

Yes. Edwin Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Edwin Rodriguez accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Edwin 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.

When was this NPI record last updated?

The NPPES record for Edwin Rodriguez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.