DR. CARLOS R RODRIGUEZ M.D.
NPI 1538164157
Family Medicine in Clearwater, FL

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
14100 58TH ST N, CLEARWATER, FL 33760(727) 824-8181(727) 824-8150 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2020, Jan 13, 2017 (2 updates tracked since 2017).

About Dr. Carlos R Rodriguez M.d. NPPES

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

DR. CARLOS R RODRIGUEZ M.D. (NPI 1538164157) is an individual family medicine provider in Clearwater, Florida, licensed in Florida (ME82799) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1538164157
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARLOS R RODRIGUEZCredential: M.D.
Location Address14100 58TH ST NClearwater, FL 33760-9900
Mailing Address14100 58th St NClearwater, FL 33760-9900 · (727) 824-8181 · Fax (727) 824-8150
Fax(727) 824-8150
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 20, 2005
Last NPPES UpdateAugust 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
NPI 1538164157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME82799
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License ME82799 (FL)
14100 58TH ST N, Clearwater, FL 33760

Other Identifiers 1

Medicaid265512800FL

Accepted 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. Carlos R Rodriguez M.d. 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 ID4880666817
PECOS Enrollment IDI20080819000738
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33760 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
65%129 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
39%246 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
24%50 patients1/55-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.

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Obstetrics & Gynecology (Obstetrics)
14100 58TH ST N
CLEARWATER, FL 33760
General Practice
14100 58TH ST N
CLEARWATER, FL 33760
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Physical Therapist
14100 58TH ST N
CLEARWATER, FL 33760
Nurse Practitioner (Family)
14100 58TH ST N
CLEARWATER, FL 33760
Social Worker (Clinical)
14100 58TH ST N
CLEARWATER, FL 33760
Pharmacist (Ambulatory Care)
14100 58TH ST N
CLEARWATER, FL 33760

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 Carlos Rodriguez's NPI number?

The NPI number for Carlos Rodriguez is 1538164157. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Carlos Rodriguez located?

Carlos Rodriguez practices at 14100 58th St N, Clearwater, FL 33760. The listed phone number is (727) 824-8181.

What is Carlos Rodriguez's specialty?

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

Is Carlos Rodriguez enrolled in Medicare?

Yes. Carlos 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 Carlos Rodriguez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Carlos 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 Carlos Rodriguez was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.