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JOSE ILDEFONSO RODRIGUEZ MORENO M.D.
NPI 1891148854
Psychiatry & Neurology - Neurology in Medford, OR

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
2900 STATE ST STE 101, MEDFORD, OR 97504(541) 789-5790 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2021, Mar 17, 2018, Jul 14, 2016 (3 updates tracked since 2016).

About Jose Ildefonso Rodriguez Moreno M.d. NPPES

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

JOSE ILDEFONSO RODRIGUEZ MORENO M.D. (NPI 1891148854) is an individual neurology provider in Medford, Oregon, licensed in Oregon (MD202077) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891148854
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameJOSE ILDEFONSO RODRIGUEZ MORENOCredential: M.D.
Location Address2900 STATE ST STE 101Medford, OR 97504-8458
Mailing Address2900 State St Ste 101Medford, OR 97504-8458 · (541) 789-5790
Phone(541) 789-5790
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 14, 2016
Last NPPES UpdateJuly 14, 20213 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
✔ NPI 1891148854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in OR · MD202077
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 267707 (MA)
2900 STATE ST STE 101, Medford, OR 97504
Open in Google Maps ↗

Secondary Practice Locations 2

Location 141 Mall RdBurlington, MA 01805-3700 · Phone (781) 353-8167
Location 2800 Washington StBoston, MA 02111-1552 · Phone (617) 636-5848

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Taro Health.Insurance ›

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

Jose Ildefonso Rodriguez Moreno 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 ID3476819434
PECOS Enrollment IDI20250723001524
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 Reassignment

Medicare enrollment records show Jose Rodriguez Moreno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lgh Medical Group, Inc.
2,589 mi
Anesthesiology
295 VARNUM AVE
Lowell, MA 01854
  • Reassigned Medicare billing, Massachusetts enrollment
  • 220 clinicians in this Medicare group
NPI 1770763880 (978) 937-6350

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 8

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, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
17,400 services26 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.
216 services196 patients
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.
155 services146 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
72 services20 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
59 services55 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.
51 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Lowell General Hospital

Acute Care Hospitals · Lowell, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220063
Location295 Varnum AvenueLowell, MA 01854 · Middlesex County
Emergency services Birthing friendly

Holy Family Hospital

Acute Care Hospitals · Methuen, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220080
Location70 East StreetMethuen, MA 01844 · Essex County
Emergency services Birthing friendly

Asante Three Rivers Medical Center

Acute Care Hospitals · Grants Pass, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380002
Location500 SW Ramsey AvenueGrants Pass, OR 97527 · Josephine County
Emergency services Birthing friendly

Asante Rogue Regional Medical Center

Acute Care Hospitals · Medford, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380018
Location2825 E Barnett RoadMedford, OR 97504 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.08
Promoting Interoperability100
Improvement Activities40
Cost63.86

Other Providers at the Same Location NPPES 2

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

TYLER RICHARD SCOTT D.O.
Psychiatry & Neurology (Neurology)
2900 STATE ST STE 101
MEDFORD, OR 97504
Jackson County (541) 789-5790
ADRIA FELICE THOMAS AGNP-C
Nurse Practitioner (Adult Health)
2900 STATE ST STE 101
MEDFORD, OR 97504
Jackson County (541) 789-5761

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 Jose Rodriguez Moreno's NPI number?

The NPI number for Jose Rodriguez Moreno is 1891148854. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Jose Rodriguez Moreno located?

Jose Rodriguez Moreno practices at 2900 State St Ste 101, Medford, OR 97504. The listed phone number is (541) 789-5790.

What is Jose Rodriguez Moreno's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Jose Rodriguez Moreno enrolled in Medicare?

Yes. Jose Rodriguez Moreno 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 organization bills Medicare for Jose Rodriguez Moreno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Rodriguez Moreno reassigns Medicare benefits to Lgh Medical Group, Inc. (Lowell, MA). The 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 Jose Rodriguez Moreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Rodriguez Moreno accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Jose Rodriguez Moreno 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 Jose Rodriguez Moreno affiliated with any hospitals?

According to CMS data, Jose Rodriguez Moreno is affiliated with Lawrence General Hospital, Lowell General Hospital, Holy Family Hospital, Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Rodriguez Moreno was last updated on July 14, 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.