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CARSON RODEFFER MD
NPI 1679923387
Obstetrics & Gynecology in Modesto, CA

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
1552 COFFEE RD FL 1, MODESTO, CA 95355(209) 521-4372(095) 232-0052 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2020, Jun 14, 2016 (2 updates tracked since 2016).

About Carson Rodeffer Md NPPES

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

CARSON RODEFFER MD (NPI 1679923387) is an individual obstetrics & gynecology provider in Modesto, California, licensed in California (A168432) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2016).

NPPES Registry Identity

NPI1679923387
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameCARSON RODEFFERCredential: MD
Location Address1552 COFFEE RD FL 1Modesto, CA 95355-3122
Mailing Address1552 Coffee Rd Fl 1Modesto, CA 95355-3122 · (095) 214-3722 · Fax (095) 232-0052
Phone(209) 521-4372
Fax(095) 232-0052
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateJuly 21, 20202 updates tracked since enumeration
NPPES CertifiedJuly 21, 2020
✔ NPI 1679923387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A168432
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1552 COFFEE RD FL 1, Modesto, CA 95355
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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

Carson Rodeffer 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 ID6800180936
PECOS Enrollment IDI20200727002899
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

2

Medicare enrollment records show Carson Rodeffer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hera Obgyn Medical Group, Inc.
Same address
Obstetrics & Gynecology
1552 COFFEE RD, 1ST FLOOR
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Hera Ob-Gyn Medical Group Inc
  • 9 clinicians in this Medicare group
NPI 1992710768 (209) 521-4372
First Choice Physician Partners
1.1 mi
Internal Medicine
200 W COOLIDGE AVE
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1912264862 (209) 521-1533

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. CASEY ELIZABETH RICHARDSON
Obstetrics & Gynecology
1552 COFFEE RD FL 1
MODESTO, CA 95355
Stanislaus County (209) 521-4372

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 Carson Rodeffer's NPI number?

The NPI number for Carson Rodeffer is 1679923387. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Carson Rodeffer located?

Carson Rodeffer practices at 1552 Coffee Rd Fl 1, Modesto, CA 95355. The listed phone number is (209) 521-4372.

What is Carson Rodeffer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carson Rodeffer enrolled in Medicare?

Yes. Carson Rodeffer 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 Carson Rodeffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carson Rodeffer reassigns Medicare benefits to 2 organizations: Hera Obgyn Medical Group, Inc. (Modesto, CA) and First Choice Physician Partners (Modesto, CA). 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 Carson Rodeffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carson Rodeffer was last updated on July 21, 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.