DR. JOHN GARDINER R RODDEY JR. M.D.
NPI 1619925419
Internal Medicine - Gastroenterology in Charlotte, NC

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2015 RANDOLPH RD, SUITE 208, CHARLOTTE, NC 28207(704) 377-4009 Get Directions Write a Review

NPPES record last updated: April 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Gardiner R Roddey Jr. M.d. NPPES

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

DR. JOHN GARDINER R RODDEY JR. M.D. (NPI 1619925419) is an individual gastroenterology provider in Charlotte, North Carolina, licensed in North Carolina (9600706) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1990).

NPPES Registry Identity

NPI1619925419
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN GARDINER R RODDEY JR.Credential: M.D.
Location Address2015 RANDOLPH RD, SUITE 208Charlotte, NC 28207-1200
Mailing AddressPo Box 497Huntersville, NC 28070-0497 · (704) 377-4009
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1990
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 4, 2012
NPI 1619925419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NC · 9600706
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2015 RANDOLPH RD, Charlotte, NC 28207

Other Identifiers 2

Medicare UPIND35556NC
Medicare PIN2231194HNC

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. John Gardiner R Roddey Jr. 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 ID9830138593
PECOS Enrollment IDI20050502000913
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 14

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.

Injection, vedolizumab, intravenous, 1 mg J3380
Vedolizumab is a medication given via injection. It's used to treat certain bowel conditions (such as Crohn's disease, ulcerative colitis) by reducing inflammation. It works by blocking a certain protein that causes this inflammation.
6,600 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
136 services108 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
131 services124 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
102 services102 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
72 services72 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.
54 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number340195
Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 4

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

Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims228 services$10.50 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix B4189
Other-Enteral and Parenteral · category OB005N
1 supplier17 claims51 services$177.05 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims60 services$7.97 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier20 claims60 services$24.90 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 14

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

Nurse Practitioner (Family)
2015 RANDOLPH RD, STE 208
CHARLOTTE, NC 28207
Colon & Rectal Surgery
2015 RANDOLPH RD, SUITE 201
CHARLOTTE, NC 28207
Internal Medicine (Gastroenterology)
2015 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
2015 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28207
Internal Medicine (Gastroenterology)
2015 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28207
Dermatology
2015 RANDOLPH RD, STE. 210
CHARLOTTE, NC 28207
Ophthalmology
2015 RANDOLPH RD, SUITE 108
CHARLOTTE, NC 28207
Dietitian, Registered
2015 RANDOLPH RD, SUITE 208
CHARLOTTE, NC 28207

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 John Roddey's NPI number?

The NPI number for John Roddey is 1619925419. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is John Roddey located?

John Roddey practices at 2015 Randolph Rd Suite 208, Charlotte, NC 28207. The listed phone number is (704) 377-4009.

What is John Roddey's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Roddey enrolled in Medicare?

Yes. John Roddey 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 John Roddey accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list John Roddey 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.

Is John Roddey affiliated with any hospitals?

According to CMS data, John Roddey is affiliated with Novant Health Presbyterian Medical Center, Novant Health Matthews Medical Center, Novant Health Huntersville Medical Center, Novant Health Mint Hill Medical Center and Novant Health Ballantyne Medical Center.

When was this NPI record last updated?

The NPPES record for John Roddey was last updated on April 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.