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MR. ALFONSO I RODRIGUEZ MD
NPI 1598854390
Hospitalist in Wilkesbarre, PA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
90.34/100
CMS Quality Rating
1130 HIGHWAY 315, WILKESBARRE, PA 18702(570) 823-8896(570) 823-1291 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Alfonso I Rodriguez Md NPPES

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

MR. ALFONSO I RODRIGUEZ MD (NPI 1598854390) is an individual hospitalist provider in Wilkesbarre, Pennsylvania, licensed in Pennsylvania (MD038750E) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of University Of Puerto Rico School Of Medicine (1980).

NPPES Registry Identity

NPI1598854390
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMR. ALFONSO I RODRIGUEZCredential: MD
Location Address1130 HIGHWAY 315Wilkesbarre, PA 18702-6952
Mailing Address1130 Highway 315Wilkesbarre, PA 18702-6952 · (570) 823-8896 · Fax (570) 823-1291
Phone(570) 823-8896
Fax(570) 823-1291
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1980
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 24, 2020
NPPES CertifiedMarch 24, 2020
✔ NPI 1598854390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · MD038750E
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MD038750E (PA)
1130 HIGHWAY 315, Wilkesbarre, PA 18702
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Other Identifiers 1

Medicaid001088784PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Alfonso I Rodriguez Md 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 ID6800076522
PECOS Enrollment IDI20110211000394
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Alfonso Rodriguez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renal Consultants Of Wyoming Valley PC
0.1 mi
Nephrology
1130 HIGHWAY 315, STE B
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 13 clinicians in this Medicare group
NPI 1659399111 (570) 823-8896
Pennsylvania Hospitalist Group, LLC
2.3 mi
Hospitalist
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
NPI 1558126342 (570) 829-8111
Advanced Inpatient Medicine Associates PC
2.3 mi
Hospitalist
575 N RIVER ST
Wilkes Barre, PA 18764
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 78 clinicians in this Medicare group
NPI 1396168589 (570) 552-4450
Advanced Inpatient Medicine PC
14 mi
Hospitalist
746 JEFFERSON AVE FL 4
Scranton, PA 18510
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 98 clinicians in this Medicare group
NPI 1871725366 (570) 241-4715

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
352 services146 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
344 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
192 services185 patients
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.
85 services83 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services34 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

90.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.69
Promoting Interoperability100
Improvement Activities40

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…
1%790 patients1/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
5%38 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
52%385 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
52%437 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$14.34 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers62 claims62 services$60.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

MRS. ANN M STRAZDUS C.R.N.P.
Nurse Practitioner
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 823-8896
STEVEN M YOUNG DO
Internal Medicine (Nephrology)
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 823-8896
JODI A CALABRO CRNP
Nurse Practitioner
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 823-8896
PLASTIC AND RECONSTRUCTIVE SURGEONS LTD
Surgery (Plastic and Reconstructive Surgery)
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 821-2820
MS. PATRICIA A. O'CONNELL CRNA
Nurse Anesthetist, Certified Registered
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 821-2830
DR. RAYMOND GUIDO JOSEPH MD
Internal Medicine (Nephrology)
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 823-8896
RENAL CONSULTANTS OF WYOMING VALLEY PC
Internal Medicine (Nephrology)
1130 HIGHWAY 315, STE B
WILKES BARRE, PA 18702
Luzerne County (570) 823-8896
MS. MARY K. KAPRAL CRNA
Nurse Anesthetist, Certified Registered
1130 HIGHWAY 315
WILKES BARRE, PA 18702
Luzerne County (570) 821-2830

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 Alfonso Rodriguez's NPI number?

The NPI number for Alfonso Rodriguez is 1598854390. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Alfonso Rodriguez located?

Alfonso Rodriguez practices at 1130 Highway 315, Wilkesbarre, PA 18702. The listed phone number is (570) 823-8896.

What is Alfonso Rodriguez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Alfonso Rodriguez enrolled in Medicare?

Yes. Alfonso 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.

Which organizations bill Medicare for Alfonso Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfonso Rodriguez reassigns Medicare benefits to 4 organizations: Renal Consultants Of Wyoming Valley PC (Wilkes Barre, PA), Pennsylvania Hospitalist Group, LLC (Wilkes Barre, PA), Advanced Inpatient Medicine Associates PC (Wilkes Barre, PA) and Advanced Inpatient Medicine PC (Scranton, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alfonso Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alfonso Rodriguez affiliated with any hospitals?

According to CMS data, Alfonso Rodriguez is affiliated with Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Alfonso Rodriguez was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.