GAVIN RODGERS
NPI 1942898366
Family Medicine in Vancouver, WA

Q: What is Gavin Rodgers's NPI number?

The NPI number for Gavin Rodgers is 1942898366. It was assigned to this individual provider in the NPPES registry on January 3, 2021.

Q: What is Gavin Rodgers'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 Gavin Rodgers was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 03, 2021PECOS Enrolled

16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683(360) 735-8100(360) 253-1781 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 28, 2026, Jan 3, 2021 (2 updates tracked since 2021).

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About Gavin Rodgers NPPES

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

GAVIN RODGERS (NPI 1942898366) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (70143729) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1942898366

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameGAVIN RODGERS

Location Address16811 SE MCGILLIVRAY BLVDVancouver, WA 98683-3404

Mailing Address200 Mullins DrLebanon, OR 97355-3983 · (541) 259-0235

Phone(360) 735-8100

Fax(360) 253-1781

Sole ProprietorNo

Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 2023

Enumeration DateJanuary 3, 2021

Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration

NPPES CertifiedJuly 28, 2026

✔ NPI 1942898366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · 70143729

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.

16811 SE MCGILLIVRAY BLVD, Vancouver, WA 98683

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Secondary Practice Location 1

Location 1200 Mullins DrLebanon, OR 97355-3983 · Phone (541) 259-0235

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gavin Rodgers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820456262

PECOS Enrollment IDI20260813002587

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 Gavin Rodgers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peacehealth

4.3 mi

Surgery

505 NE 87TH AVE, SUITE 301
Vancouver, WA 98664

Reassigned Medicare billing, Washington enrollment
307 clinicians in this Medicare group

NPI 1609061969 (360) 514-7374

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98683 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

SHANNON KRISTINE URBAN ARNP

Nurse Practitioner (Family)