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DR. RODOLFO DIAZ M.D.
NPI 1851360663
Otolaryngology in Vineland, NJ

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
86.77/100
CMS Quality Rating
1206 W SHERMAN AVE STE 2B, VINELAND, NJ 08360(856) 696-5510(856) 696-5590 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rodolfo Diaz M.d. NPPES

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

DR. RODOLFO DIAZ M.D. (NPI 1851360663) is an individual otolaryngology provider in Vineland, New Jersey, licensed in New Jersey (25MA04900200) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Inspira Medical Center Vineland, and is a graduate of Ponce School Of Medicine (1981).

NPPES Registry Identity

NPI1851360663
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. RODOLFO DIAZCredential: M.D.
Location Address1206 W SHERMAN AVE STE 2BVineland, NJ 08360-6911
Mailing Address1206 W Sherman Ave, Bldg 2 Suite BVineland, NJ 08360-6916 · (856) 696-5510 · Fax (856) 696-5590
Phone(856) 696-5510
Fax(856) 696-5590
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 1981
Enumeration DateMarch 15, 2006
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1851360663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NJ · 25MA04900200
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedSpecialistTaxonomy 174400000X · License 25MA04900200 (NJ)
1206 W SHERMAN AVE STE 2B, Vineland, NJ 08360
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Other Identifiers 8

Medicaid5281300NJ
OtherP387263NJ · Oxford
Other01000270500NJ · Americhoice
Other1002541NJ · United Health Care
OtherAMERIHEALTHNJ · 0393811000
Other1002541NJ · Railroad Medicare
Other2025389NJ · Aetna
OtherHORIZON NJ HEALTHNJ · 1079307

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Rodolfo Diaz 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 ID5991840878
PECOS Enrollment IDI20100303000339
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 9

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.
475 services344 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
444 services444 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
221 services214 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
39 services38 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
31 services31 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08360 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

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.

86.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality71.7
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
97%149 patients
Advance Care Plan
73%1,273 patients3/55-star benchmark: 100%
Age-Related Hearing Loss: Comprehensive Audiometric Evaluation
94%53 patients
Documentation of Current Medications in the Medical Record
99%3,474 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
83%3,082 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 427 patients
Patients screened: 100% · 427 patients
92%60 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 30% · 408 patients
Patients screened: 31% · 408 patients
0%30 patients
Provide Patients Electronic Access to Their Health Information
85%1,373 patients3/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
98%330 patients4/55-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

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

EAR,NOSE AND THROAT SPECIALISTS,PC
Otolaryngology
1206 W SHERMAN AVE STE 2B
VINELAND, NJ 08360
Cumberland County (856) 696-5510

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 Rodolfo Diaz's NPI number?

The NPI number for Rodolfo Diaz is 1851360663. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Rodolfo Diaz located?

Rodolfo Diaz practices at 1206 W Sherman Ave Ste 2B, Vineland, NJ 08360. The listed phone number is (856) 696-5510.

What is Rodolfo Diaz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Rodolfo Diaz enrolled in Medicare?

Yes. Rodolfo Diaz 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 Rodolfo Diaz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rodolfo Diaz 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 Rodolfo Diaz affiliated with any hospitals?

According to CMS data, Rodolfo Diaz is affiliated with Inspira Medical Center Vineland and Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Rodolfo Diaz was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.