EFRAIN RODRIGUEZ MD
NPI 1851852073
Family Medicine in Mcallen, TX

Q: What is Efrain Rodriguez's NPI number?

The NPI number for Efrain Rodriguez is 1851852073. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Efrain Rodriguez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Efrain Rodriguez was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment

1700 W DOVE AVE STE 80, MCALLEN, TX 78504(956) 608-6700(833) 992-2276 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2024, Jul 12, 2022 (2 updates tracked since 2022).

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About Efrain Rodriguez Md NPPES

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

EFRAIN RODRIGUEZ MD (NPI 1851852073) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (T5015) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of University Of Texas Medical School At Houston (2019).

NPPES Registry Identity

NPI1851852073

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameEFRAIN RODRIGUEZCredential: MD

Location Address1700 W DOVE AVE STE 80Mcallen, TX 78504-4464

Mailing Address1700 W Dove Ave Ste 80Mcallen, TX 78504-4464 · (956) 608-6700 · Fax (833) 992-2276

Phone(956) 608-6700

Fax(833) 992-2276

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2019

Enumeration DateMarch 29, 2019

Last NPPES UpdateAugust 2, 20252 updates tracked since enumeration

NPPES CertifiedAugust 2, 2025

✔ NPI 1851852073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · T5015

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License T5015 (TX)

1700 W DOVE AVE STE 80, Mcallen, TX 78504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas.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

Efrain 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 ID4981081577

PECOS Enrollment IDI20220520000984

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 7

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.

57 services34 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.

48 services36 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

39 services27 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

17 services12 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.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

South Texas Health System

Acute Care Hospitals · Edinburg, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450119

Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78504 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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Other Providers at the Same Location NPPES 5

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

JEAN DOMANTAY BAYABOS FNP-C

Nurse Practitioner (Family)