ROBERT RODRIGUEZ PA-C
NPI 1619236338
Physician Assistant - Medical in Pierson, FL

Q: What is Robert Rodriguez's NPI number?

The NPI number for Robert Rodriguez is 1619236338. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Robert Rodriguez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Robert Rodriguez was last updated on July 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment

216 FREDERICK ST, PIERSON, FL 32180(386) 749-9449(386) 749-2280 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 22, 2024, Jul 27, 2021 (2 updates tracked since 2021).

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About Robert Rodriguez Pa-c NPPES

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

ROBERT RODRIGUEZ PA-C (NPI 1619236338) is an individual medical provider in Pierson, Florida, licensed in Florida (PA9106554) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619236338

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameROBERT RODRIGUEZCredential: PA-C

Location Address216 FREDERICK STPierson, FL 32180-3024

Mailing Address1205 S Woodland Blvd Ste 3Deland, FL 32720-7464 · (386) 202-6025

Phone(386) 749-9449

Fax(386) 749-2280

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateMay 15, 2012

Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration

NPPES CertifiedJuly 22, 2024

✔ NPI 1619236338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA9106554

216 FREDERICK ST, Pierson, FL 32180

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Other Identifiers 1

Medicaid009036300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama.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

Robert Rodriguez Pa-c 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 ID3971767377

PECOS Enrollment IDI20120615000140

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 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

74%127 patients4/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

64%211 patients4/55-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

48%80 patients2/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%449 patients5/55-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…

96%421 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 100% · 81 patients

75%81 patients4/55-star benchmark: 98%

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.

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Other Providers at the Same Location NPPES 6

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

VIANEY MARTINEZ APRN

Nurse Practitioner (Family)