GERARDO GONZALEZ RODRIGUEZ MD
NPI 1902399561
Family Medicine in Greenville, NC

Active since June 08, 2018PECOS Enrolled
98.33/100
CMS Quality Rating
101 HEART DR, GREENVILLE, NC 27834(252) 744-2045(252) 744-3525 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2022, Apr 30, 2022, Mar 1, 2021 and 1 more (4 updates tracked since 2020).

About Gerardo Gonzalez Rodriguez Md NPPES

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

GERARDO GONZALEZ RODRIGUEZ MD (NPI 1902399561) is an individual family medicine provider in Greenville, North Carolina, licensed in North Carolina (2022-01061) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902399561
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGERARDO GONZALEZ RODRIGUEZCredential: MD
Location Address101 HEART DRGreenville, NC 27834-8982
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Fax(252) 744-3525
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 8, 2018
Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1902399561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2022-01061
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 ListedInternal MedicineTaxonomy 207R00000X · License 34884-R (PR)
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 2022-01061 (NC)
101 HEART DR, Greenville, NC 27834

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 (PECOS)

Gerardo Gonzalez Rodriguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729488325
PECOS Enrollment IDI20220627002727
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 29

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, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,140 services16 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.
368 services220 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
228 services143 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
164 services164 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
93 services49 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
68 services35 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.67 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$92.25 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$184.30 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 20

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

Social Worker (Clinical)
101 HEART DR, ECU PHYSICIANS FAMILY MEDICINE
GREENVILLE, NC 27834
Family Medicine
101 HEART DR, ECU PHYSICIANS FAMILY MEDICINE CENTER
GREENVILLE, NC 27834
Occupational Therapist
101 HEART DR
GREENVILLE, NC 27834
Physician Assistant
101 HEART DR
GREENVILLE, NC 27834
Nurse Practitioner (Family)
101 HEART DR
GREENVILLE, NC 27834
Dietitian, Registered
101 HEART DR
GREENVILLE, NC 27834
Marriage & Family Therapist
101 HEART DR, ECU FAMILY MEDICINE
GREENVILLE, NC 27834
Physician Assistant
101 HEART DR, ECU PHYSICIANS FAMILY MEDICINE
GREENVILLE, NC 27834

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 Gerardo Gonzalez Rodriguez's NPI number?

The NPI number for Gerardo Gonzalez Rodriguez is 1902399561. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Gerardo Gonzalez Rodriguez located?

Gerardo Gonzalez Rodriguez practices at 101 Heart Dr, Greenville, NC 27834. The listed phone number is (252) 744-2045.

What is Gerardo Gonzalez Rodriguez's specialty?

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

Is Gerardo Gonzalez Rodriguez enrolled in Medicare?

Yes. Gerardo Gonzalez Rodriguez is registered in the Medicare PECOS enrollment system.

What insurance does Gerardo Gonzalez Rodriguez accept?

Health plans from Blue Cross and Blue Shield of NC list Gerardo Gonzalez Rodriguez 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 Gerardo Gonzalez Rodriguez affiliated with any hospitals?

According to CMS data, Gerardo Gonzalez Rodriguez is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Gerardo Gonzalez Rodriguez was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.